Mercy Health Pharmacy-Southwest
LBN: Family Pharmacy-Sw Campus
Mercy Health Pharmacy-Southwest is an health care organization with primary practice located at 2373 64Th St Sw Ste 1100, Byron Center MI 49315-7974. 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.
Family Pharmacy-Sw Campus can be contacted via phone (616) 685-3950, or through Casalou, Robert via phone (734) 712-3792.
Contact Information
Primary practice address
2373 64Th St Sw Ste 1100
Byron Center MI 49315-7974
Phone: (616) 685-3950
Fax: (616) 249-0850
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 5301008486 | Michigan |
Profile Details
| NPI number | 1235226424 |
|---|---|
| LBN Legal business name | Family Pharmacy-Sw Campus |
| DBA Doing business as | Mercy Health Pharmacy-Southwest |
| Authorized official | Casalou, Robert |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 7th, 2006 |
| Last updated | Sep 26th, 2022 - about 2 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 | 1235226424 | NPPES |
| Other | 2042398 | PK | |
| MEDICAID | 4110913 | PK | |
| MEDICAID | 1235226424 | PK |
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