Pharmor Pharmacy-Evergreen

LBN: Apollo Medical Pharmacy Llc
Pharmor Pharmacy-Evergreen is an health care organization with primary practice located at 20250 W 7 Mile Rd , Detroit MI 48219-3469. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Apollo Medical Pharmacy Llc can be contacted via phone (313) 535-9755, or through Shoubah, Abdo via phone (313) 467-4164.

Contact Information

Primary practice address
20250 W 7 Mile Rd Detroit MI 48219-3469
Fax: (313) 535-9765
Website:
Authorized official contact:
Name: Shoubah, Abdo

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 5301009583 Michigan

Profile Details

NPI number 1639461551
LBN Legal business name Apollo Medical Pharmacy Llc
DBA Doing business as Pharmor Pharmacy-Evergreen
Authorized official Shoubah, Abdo
Entity Organization
Organization subpart 1 No
Enumeration date May 11th, 2011
Last updated Nov 15th, 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 1639461551 NPPES
Other 2375548 NCPDP PROVIDER IDENTIFICATION NUMBER

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