Healthcare Provider Details

I. General information

NPI: 1831832989
Provider Name (Legal Business Name): APOLLO PHARMACY WOODHAVEN, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2022
Last Update Date: 05/20/2025
Certification Date: 05/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21389 ALLEN RD
WOODHAVEN MI
48183-1665
US

IV. Provider business mailing address

21389 ALLEN RD
WOODHAVEN MI
48183-1665
US

V. Phone/Fax

Practice location:
  • Phone: 734-785-6925
  • Fax: 734-785-6945
Mailing address:
  • Phone: 734-785-6925
  • Fax: 734-785-6945

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MRS. DIPTIBAHEN PATEL
Title or Position: PRESIDENT
Credential:
Phone: 734-785-6925