Etelrx Inc

LBN: Etelrx Inc
Etelrx Inc is an health care organization with primary practice located at 21811 Kelly Rd Ste 103 , Eastpointe MI 48021-2793. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Etelrx Inc can be contacted via phone (586) 498-7600, or through Warnack, Gerald via phone (586) 498-7600.

Contact Information

Primary practice address
21811 Kelly Rd Ste 103 Eastpointe MI 48021-2793
Fax: (586) 498-2011
Website:
Authorized official contact:
Name: Warnack, Gerald

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X 5301007233 Michigan

Profile Details

NPI number 1386792760
LBN Legal business name Etelrx Inc
DBA Doing business as
Authorized official Warnack, Gerald
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2007
Last updated Aug 22nd, 2020 - about 4 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 1386792760 NPPES
Michigan MEDICAID 2361599

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