Crown Pharmacy

LBN: Crown Specialty Pharmacy Llc
Crown Pharmacy is an health care organization with primary practice located at 24401 Plymouth Rd , Redford MI 48239-1616. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Crown Specialty Pharmacy Llc can be contacted via phone (313) 532-3784, or through Fakih, Ali Jamil via phone (313) 532-3784.

Contact Information

Primary practice address
24401 Plymouth Rd Redford MI 48239-1616
Fax: (313) 532-3718
Website:
Authorized official contact:
Name: Fakih, Ali Jamil RPH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 5301010295 Michigan
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1184750713
LBN Legal business name Crown Specialty Pharmacy Llc
DBA Doing business as Crown Pharmacy
Authorized official Fakih, Ali Jamil RPH
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 26th, 2007
Last updated Nov 22nd, 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 1184750713 NPPES
Michigan MEDICAID 2346802

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