123 Pharmacy Llc

LBN: 123 Pharmacy Llc
123 Pharmacy Llc is an health care organization with primary practice located at 24142 W Warren St Ste A2, Dearborn Heights MI 48127-2256. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. 123 Pharmacy Llc can be contacted via phone (313) 730-0677, or through Hussein, Mustapha via phone (313) 645-7544.

Contact Information

Primary practice address
24142 W Warren St Ste A2 Dearborn Heights MI 48127-2256
Phone: (313) 730-0677
Fax: (313) 730-0670
Website:
Map and Directions
Authorized official contact:
Name: Hussein, Mustapha
Phone: (313) 645-7544

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 5315038557 Michigan

Profile Details

NPI number 1376797746
LBN Legal business name 123 Pharmacy Llc
DBA Doing business as 123 Pharmacy Llc
Authorized official Hussein, Mustapha
Entity Organization
Organization subpart 1 No
Enumeration date Nov 11th, 2008
Last updated May 2nd, 2011 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1376797746 NPPES
Other 2371867 NCPDP PROVIDER IDENTIFICATION NUMBER

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