Detroit Medical Pharmacy
LBN: Detroit Medical Pharmacy Inc
Detroit Medical Pharmacy is an health care organization with primary practice located at 500 E Warren Ave , Detroit MI 48201-1436. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Detroit Medical Pharmacy Inc can be contacted via phone (313) 831-2400, or through Sohoubah, Mohamed via phone (313) 831-2400.
Contact Information
Primary practice address
500 E Warren Ave
Detroit MI 48201-1436
Phone: (313) 831-2400
Fax: (313) 831-2445
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 5301007748 | Michigan |
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1457425977 |
|---|---|
| LBN Legal business name | Detroit Medical Pharmacy Inc |
| DBA Doing business as | Detroit Medical Pharmacy |
| Authorized official | Sohoubah, Mohamed RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 17th, 2006 |
| Last updated | Jan 18th, 2017 - about 8 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 | 1457425977 | NPPES |
| Michigan | MEDICAID | 2365220 | |
| Michigan | Other | 2046547 |
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