Central Lake Pharmacy

LBN: Central Lake Pharmacy Inc
Central Lake Pharmacy is an health care organization with primary practice located at 2424 N Main Street , Central Lake MI 49622-0425. 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. Central Lake Pharmacy Inc can be contacted via phone (231) 544-2929, or through Chappuies, Duane Lyle via phone (231) 536-7657.

Contact Information

Primary practice address
2424 N Main Street Central Lake MI 49622-0425
Phone: (231) 544-2929
Fax: (231) 544-5408
Website:
Map and Directions
Authorized official contact:
Name: Chappuies, Duane Lyle RPH
Phone: (231) 536-7657

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 5301005744 Michigan
Suppliers / Community/Retail Pharmacy 3336C0003X 5301005744 Michigan

Profile Details

NPI number 1235272568
LBN Legal business name Central Lake Pharmacy Inc
DBA Doing business as Central Lake Pharmacy
Authorized official Chappuies, Duane Lyle RPH
Entity Organization
Organization subpart 1 No
Enumeration date Feb 15th, 2007
Last updated Feb 12th, 2016 - about 8 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 1235272568 NPPES
Michigan MEDICAID 2350750

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