MEDICARE: ADONAI PHARMACY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598220501
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADONAI PHARMACY LLC

Provider Business Mailing Address
First Line	:	13641 E 7 MILE RD STE 2
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48205-2257
Country	:	US
Telephone Number	:	313-372-4100
Fax Number	:	313-625-6800

Provider Business Practice Location Address
First Line	:	13641 E 7 MILE RD STE 2
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48205-2257
Country	:	US
Telephone Number	:	313-372-4100
Fax Number	:	313-625-6800

Authorized Official
Title or Position	:	MEMBER
Name	:	JOEL ORUESEFIETA BOKAN
Credential	:
Telephone Number	:	313-258-1826

Provider Enumeration Date	:	02/04/2019
Last Update Date	:	07/14/2020

Similar Medicare Providers

1477821775 — GREATNESS LLC
Practice Location Address:

13641 E 7 MILE RD
DETROIT, MI
48205-2257

Practice Phone: 313-372-4100
Practice Fax: 313-372-4782

1528523529 — JOEL ORUESEFIETA BOKAN RPH
Practice Location Address:

13641 E 7 MILE RD STE 2
DETROIT, MI
48205-2257

Practice Phone: 586-222-9215
Practice Fax:

1932038171 — NICOLE MARIE HALIBURTON
Practice Location Address:

20251 CONLEY ST
DETROIT, MI
48234-2257

Practice Phone: 313-474-0636
Practice Fax:

1255443107 — WOODWARD DETROIT CVS, L.L.C.
Practice Location Address:

18600 LIVERNOIS AVE
DETROIT, MI
48221-2257

Practice Phone: 313-345-6020
Practice Fax:

1023649613 — ROSEMARY CYRIAC
Practice Location Address:

18600 LIVERNOIS AVE
DETROIT, MI
48221-2257

Practice Phone: 313-345-6020
Practice Fax:

1538790225 — RICHARD WALLS
Practice Location Address:

18600 LIVERNOIS AVE
DETROIT, MI
48221-2257

Practice Phone: 313-345-6020
Practice Fax:

Directions to “ADONAI PHARMACY LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.