Provider Demographics
NPI:1245117027
Name:APOLLO PHARMACY OF WYANDOTTE, INC
Entity type:Organization
Organization Name:APOLLO PHARMACY OF WYANDOTTE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:NEHALKUMAR
Authorized Official - Middle Name:RANJIT
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-968-2093
Mailing Address - Street 1:2000 EUREKA RD
Mailing Address - Street 2:
Mailing Address - City:WYANDOTTE
Mailing Address - State:MI
Mailing Address - Zip Code:48192-6004
Mailing Address - Country:US
Mailing Address - Phone:734-550-0850
Mailing Address - Fax:734-562-4584
Practice Address - Street 1:2000 EUREKA RD
Practice Address - Street 2:
Practice Address - City:WYANDOTTE
Practice Address - State:MI
Practice Address - Zip Code:48192-6004
Practice Address - Country:US
Practice Address - Phone:734-550-0850
Practice Address - Fax:734-562-4584
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-21
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy