Constance Corbat

Individual provider Active NPI Pharmacist · Harrison Township, MI

NPI 1619508405 · NPPES record last updated Jan 30, 2020

Key facts

NPI
1619508405
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
5302030377 (MI)
Practice address
26220 Crocker Blvd
Harrison Township, MI 48045-2455
Phone
(586) 954-0800
NPI assigned
Jan 30, 2020
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
5302030377MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Woodward Detroit CVS, L.L.C. Past
since Feb 2, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302030377 MI Yes

Addresses

Primary practice location

26220 Crocker Blvd
Harrison Township, MI 48045-2455

Mailing address

51532 Huntley Ave
New Baltimore, MI 48047-6505
Phone (586) 557-8656

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address constancecorbat@gmail.net

Other providers in Harrison Township, MI

All providers in Harrison Township, MI · Pharmacist in Michigan

Sources for this page

Verify at the official NPI Registry.