Rx University Compounding Pharmacy
LBN: Diversified Pharmacy Inc
Rx University Compounding Pharmacy is an health care organization with primary practice located at 6054 Livernois Rd , Troy MI 48098-1502. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Diversified Pharmacy Inc can be contacted via phone (248) 267-5002, or through Mccloskey, Bradley via phone (248) 267-5002.
Contact Information
Primary practice address
6054 Livernois Rd
Troy MI 48098-1502
Phone: (248) 267-5002
Fax: (248) 267-5003
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 5301007150 | Michigan |
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1982712352 |
|---|---|
| LBN Legal business name | Diversified Pharmacy Inc |
| DBA Doing business as | Rx University Compounding Pharmacy |
| Authorized official | Mccloskey, Bradley PHARMD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 27th, 2006 |
| Last updated | Mar 20th, 2018 - about 6 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 | 1982712352 | NPPES |
| Michigan | MEDICAID | 2360701 | |
| Michigan | Other | 2360701 | |
| Michigan | Other | 2360701 |
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