MEDICARE: HENRY FORD MACOMB HOSPITAL WARREN CAMPUS LOBBY PHCY

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	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	5301007342	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2362375	OTHER		NCPDP PROVIDER IDENTIFICATION NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831140318
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HENRY FORD MACOMB HOSPITAL WARREN CAMPUS LOBBY PHCY

Provider Business Mailing Address
First Line	:	13355 E 10 MILE RD
Second Line	:
City	:	WARREN
State	:	MI
Zip	:	48089-2048
Country	:	US
Telephone Number	:	586-759-7845
Fax Number	:	586-759-7790

Provider Business Practice Location Address
First Line	:	13355 E 10 MILE RD
Second Line	:
City	:	WARREN
State	:	MI
Zip	:	48089-2048
Country	:	US
Telephone Number	:	586-759-7845
Fax Number	:	586-759-7790

Authorized Official
Title or Position	:	PHARMACIST IN CHARGE
Name	:	JOHN HAYDEN
Credential	:	RPH
Telephone Number	:	586-759-7845

Provider Enumeration Date	:	05/12/2006
Last Update Date	:	06/09/2010

Similar Medicare Providers

1568486447 — CHRIST S STOYANOVICH D.O.
Practice Location Address:

13355 E 10 MILE RD
WARREN, MI
48089-2048

Practice Phone: 586-759-7963
Practice Fax: 586-759-7793

1790774131 — LYNETTE M SUTKOWI TOOMAJIAN DO
Practice Location Address:

13355 E 10 MILE RD , SUITE 110
WARREN, MI
48089-2048

Practice Phone: 586-756-7090
Practice Fax: 586-756-7091

1225098106 — DR. FREDERICK GERALD MEOLI DO
Practice Location Address:

13355 E 10 MILE RD , RADIOLOGY DEPARTMENT DR. MEOLI
WARREN, MI
48089-2048

Practice Phone: 586-759-7300
Practice Fax:

1114988599 — DIAGNOSTIC PATHOLOGY CONSULTANTS, LLPC
Practice Location Address:

13355 E 10 MILE RD
WARREN, MI
48089-2048

Practice Phone: 586-759-7300
Practice Fax:

1205889920 — SUZANNE WOLTANSKI MD
Practice Location Address:

13355 E 10 MILE RD
WARREN, MI
48089-2048

Practice Phone: 586-759-7510
Practice Fax: 586-759-7791

1538113667 — JOHN CALABRIA DO
Practice Location Address:

13355 E 10 MILE RD
WARREN, MI
48089-2048

Practice Phone: 586-759-7510
Practice Fax: 586-759-7791

Directions to “HENRY FORD MACOMB HOSPITAL WARREN CAMPUS LOBBY PHCY ” 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.