Bronson Outpatient Pharmacy-Paw Paw

LBN: Bronson Outpatient Pharmacy-Paw Paw
Bronson Outpatient Pharmacy-Paw Paw is an health care organization with primary practice located at 451 Health Pkwy , Paw Paw MI 49079-8242. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Bronson Outpatient Pharmacy-Paw Paw can be contacted via phone (269) 655-3095, or through Wagner, Holly via phone (269) 341-6244.

Contact Information

Primary practice address
451 Health Pkwy Paw Paw MI 49079-8242
Phone: (269) 655-3095
Fax: (269) 655-0764
Website:
Map and Directions
Authorized official contact:
Name: Wagner, Holly
Phone: (269) 341-6244

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 5301008566 Michigan

Profile Details

NPI number 1639370430
LBN Legal business name Bronson Outpatient Pharmacy-Paw Paw
DBA Doing business as
Authorized official Wagner, Holly
Entity Organization
Organization subpart 1 No
Enumeration date May 30th, 2007
Last updated Jan 8th, 2008 - about 16 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 1639370430 NPPES
Other 2368276 OTHER ID NUMBER

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