Provider Demographics
NPI:1164857918
Name:ALLIED HEALTH PHARMACY, LIMITED
Entity Type:Organization
Organization Name:ALLIED HEALTH PHARMACY, LIMITED
Other - Org Name:ALLIED HEALTH PHARMACY, LIMITED
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PIC
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:AKANDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-762-0691
Mailing Address - Street 1:33161 FORD RD
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48135-1153
Mailing Address - Country:US
Mailing Address - Phone:734-762-0691
Mailing Address - Fax:734-762-0694
Practice Address - Street 1:33161 FORD RD
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:MI
Practice Address - Zip Code:48135-1153
Practice Address - Country:US
Practice Address - Phone:734-762-0691
Practice Address - Fax:734-762-0694
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-12
Last Update Date:2013-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
MI53010101813336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2142036OtherPK