Downriver Community Services Inc
Organization Active NPI Community/Retail Pharmacy · New Haven, MI
NPI 1295032449 · NPPES record last updated Mar 11, 2011
Key facts
- NPI
- 1295032449
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 5301009501 (MI)
- Legal business name
- DOWNRIVER COMMUNITY SERVICES INC
- Practice address
- 58144 Gratiot Ave
New Haven, MI 48048 - Phone
- (586) 339-1075
- Fax
- (586) 339-1071
- NPI assigned
- Feb 24, 2011
- Organization subpart
- No
Authorized official
- Name
- Cynthia Roush
- Title
- Ceo
- Phone
- (586) 339-1075
Corporate family (same tax ID) 9
National Provider Directory
- Tax ID family
- Community First Health Centers
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 5301009501 | MI | Yes |
Addresses
Primary practice location
58144 Gratiot Ave
New Haven, MI 48048
Mailing address
58144 Gratiot Ave
PO Box 480430
New Haven, MI 48048
Phone (586) 270-8055
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679571392 | Medicaid | MI | |
| 2375144 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names
- DCS Pharmacy - New Haven
Other providers in New Haven, MI
- Erika Ann Brown
- Aaron William Cloutier
- Samuel Derossett
- David Dickson
- Marcella Dooley
- Downriver Community Services, Inc.
- Downriver Community Services, Inc.
- Downriver Community Services, Inc.
- Douglas Edward Elsey
- Enlightened Counseling
All providers in New Haven, MI · Community/Retail Pharmacy in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.