Dort Longway Pharmacy

LBN: Dort Longway Pharmacy Llc
Dort Longway Pharmacy is an health care organization with primary practice located at 2700 Robert T Longway Blvd Ste B, Flint MI 48503-2190. 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. Dort Longway Pharmacy Llc can be contacted via phone (810) 235-2800, or through Zaki, Ahmed via phone (810) 813-0040.

Contact Information

Primary practice address
2700 Robert T Longway Blvd Ste B Flint MI 48503-2190
Phone: (810) 235-2800
Fax: (810) 235-2803
Website:
Map and Directions
Authorized official contact:
Name: Zaki, Ahmed
Phone: (810) 813-0040

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 5301009732 Michigan

Profile Details

NPI number 1699045013
LBN Legal business name Dort Longway Pharmacy Llc
DBA Doing business as Dort Longway Pharmacy
Authorized official Zaki, Ahmed
Entity Organization
Organization subpart 1 No
Enumeration date Jan 2nd, 2012
Last updated Aug 21st, 2012 - about 12 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 1699045013 NPPES
Other 2376259 NCPDP PROVIDER IDENTIFICATION NUMBER

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