Derossi'S Pharmacy

LBN: Derossi S Pharmacy Llc
Derossi'S Pharmacy is an health care organization with primary practice located at 15348 Fort St , Southgate MI 48195-1304. 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. Derossi S Pharmacy Llc can be contacted via phone (734) 246-8800, or through Patel, Sachin via phone (734) 246-8800.

Contact Information

Primary practice address
15348 Fort St Southgate MI 48195-1304
Fax: (734) 246-8808
Website:
Authorized official contact:
Name: Patel, Sachin

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 5301009569 Michigan

Profile Details

NPI number 1306137864
LBN Legal business name Derossi S Pharmacy Llc
DBA Doing business as Derossi'S Pharmacy
Authorized official Patel, Sachin
Entity Organization
Organization subpart 1 No
Enumeration date May 2nd, 2011
Last updated May 20th, 2011 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306137864 NPPES
Other 2375497 NCPDP PROVIDER IDENTIFICATION NUMBER

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