12 Mile Road Pharmacy Llc

LBN: 12 Mile Road Pharmacy Llc
12 Mile Road Pharmacy Llc is an health care organization with primary practice located at 3348 12 Mile Rd , Berkley MI 48072-1344. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. 12 Mile Road Pharmacy Llc can be contacted via phone (248) 677-3584, or through Johnson, Evan via phone (248) 677-3584.

Contact Information

Primary practice address
3348 12 Mile Rd Berkley MI 48072-1344
Phone: (248) 677-3584
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Evan
Phone: (248) 677-3584

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1275170441
LBN Legal business name 12 Mile Road Pharmacy Llc
DBA Doing business as
Authorized official Johnson, Evan
Entity Organization
Organization subpart 1 No
Enumeration date Dec 5th, 2019
Last updated Mar 18th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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