Customcare Pharmacy

LBN: Customcare Pharmacy Inc
Customcare Pharmacy is an health care organization with primary practice located at 3535 W 13 Mile Rd Suite 124, Royal Oak MI 48073-6770. 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. Customcare Pharmacy Inc can be contacted via phone (248) 551-8290, or through Zawaideh, Louis via phone (248) 551-8290.

Contact Information

Primary practice address
3535 W 13 Mile Rd Suite 124 Royal Oak MI 48073-6770
Phone: (248) 551-8290
Fax: (248) 551-8253
Website:
Map and Directions
Authorized official contact:
Name: Zawaideh, Louis
Phone: (248) 551-8290

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 5301009441 Michigan

Profile Details

NPI number 1679645469
LBN Legal business name Customcare Pharmacy Inc
DBA Doing business as Customcare Pharmacy
Authorized official Zawaideh, Louis
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2006
Last updated Aug 14th, 2013 - about 11 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 1679645469 NPPES
Other 2127657 PK

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