Farmer Jack Pharmacy
LBN: Bormans Inc
Farmer Jack Pharmacy is an health care organization with primary practice located at 50 N Groesbeck Hwy , Mount Clemens MI 48043-5427. 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) 463-2180, or through Kijowski, Susan via phone (201) 571-8326.
Contact Information
Primary practice address
50 N Groesbeck Hwy
Mount Clemens MI 48043-5427
Phone: (586) 463-2180
Fax: (586) 463-4507
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Pharmacy | 333600000X | 5301006739 | Michigan |
Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
NPI number | 1811912470 |
---|---|
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 | 1811912470 | NPPES |
Other | 2358011 | OTHER ID NUMBER-COMMERCIAL NUMBER | |
MEDICAID | 3443943 | OTHER ID NUMBER-COMMERCIAL NUMBER |
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