Farmer Jack Pharmacy
LBN: Bormans Inc
Farmer Jack Pharmacy is an health care organization with primary practice located at 22332 E 9 Mile Rd , Saint Clair Shores MI 48080-1972. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
Bormans Inc can be contacted via phone (586) 774-9082, or through Kijowski, Susan via phone (201) 571-8326.
Contact Information
Primary practice address
22332 E 9 Mile Rd
Saint Clair Shores MI 48080-1972
Phone: (586) 774-9082
Fax: (586) 774-5842
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Pharmacy | 333600000X | 5301004620 | Michigan |
Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
NPI number | 1013932672 |
---|---|
LBN Legal business name | Bormans Inc |
DBA Doing business as | Farmer Jack Pharmacy |
Authorized official | Kijowski, Susan |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jul 13th, 2006 |
Last updated | Aug 22nd, 2020 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1013932672 | NPPES |
Michigan | MEDICAID | 2797937 | |
Michigan | Other | 2341991 |
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