Carnival Pharmacy Llc

LBN: Carnival Pharmacy Llc
Carnival Pharmacy Llc is an health care organization with primary practice located at 1101 E Walton Blvd #202, Pontiac MI 48340-1591. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Carnival Pharmacy Llc can be contacted via phone (248) 475-2200, or through Pathuri, Srinivasulu via phone (248) 475-2200.

Contact Information

Primary practice address
1101 E Walton Blvd #202 Pontiac MI 48340-1591
Phone: (248) 475-2200
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pathuri, Srinivasulu
Phone: (248) 475-2200

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 5301009764 Michigan
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1740555739
LBN Legal business name Carnival Pharmacy Llc
DBA Doing business as Carnival Pharmacy Llc
Authorized official Pathuri, Srinivasulu
Entity Organization
Organization subpart 1 No
Enumeration date Mar 9th, 2012
Last updated Apr 16th, 2012 - about 12 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 1740555739 NPPES
Other 2376451 NCPDP PROVIDER IDENTIFICATION NUMBER

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