Mortons Pharmacy
LBN: Daniel P. Keller
Mortons Pharmacy is an health care organization with primary practice located at 118 W University Dr , Rochester MI 48307-1987. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Daniel P. Keller can be contacted via phone (248) 651-4044, or through Keller, Daniel via phone (248) 651-4044.
Contact Information
Primary practice address
118 W University Dr
Rochester MI 48307-1987
Phone: (248) 651-4044
Fax: (248) 651-4046
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 5301001437 | Michigan |
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1306952502 |
|---|---|
| LBN Legal business name | Daniel P. Keller |
| DBA Doing business as | Mortons Pharmacy |
| Authorized official | Keller, Daniel |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 21st, 2006 |
| Last updated | Feb 14th, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306952502 | NPPES |
| Other | 2330140 | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| MEDICAID | 2330140 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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