Clio Road Pharmacy

LBN: Clio Road Pharmacy Inc
Clio Road Pharmacy is an health care organization with primary practice located at 4902 Clio Rd , Flint MI 48504-1898. 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. Clio Road Pharmacy Inc can be contacted via phone (810) 789-7084, or through Dzelil, Selma via phone (815) 715-8502.

Contact Information

Primary practice address
4902 Clio Rd Flint MI 48504-1898
Phone: (810) 789-7084
Fax: (810) 789-7088
Website:
Map and Directions
Authorized official contact:
Name: Dzelil, Selma PHARMD.
Phone: (815) 715-8502

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 5301007593 Michigan

Profile Details

NPI number 1275575847
LBN Legal business name Clio Road Pharmacy Inc
DBA Doing business as Clio Road Pharmacy
Authorized official Dzelil, Selma PHARMD.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 11th, 2006
Last updated Sep 29th, 2023 - about last year

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 1275575847 NPPES
Michigan MEDICAID 2364242
Michigan Other 2046181

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