Provider Demographics
NPI:1497054118
Name:PEOPLE MEDICAL PHARMACY LLC
Entity Type:Organization
Organization Name:PEOPLE MEDICAL PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST-IN-CHARGE
Authorized Official - Prefix:MR
Authorized Official - First Name:AKINSOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:OLUWOLE
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:313-933-2300
Mailing Address - Street 1:8706 SCHAEFER HWY
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48228-2594
Mailing Address - Country:US
Mailing Address - Phone:313-933-2300
Mailing Address - Fax:313-933-7300
Practice Address - Street 1:8706 SCHAEFER HWY
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48228-2594
Practice Address - Country:US
Practice Address - Phone:313-933-2300
Practice Address - Fax:313-933-7300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-21
Last Update Date:2015-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI53010095353336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy