Farm Fresh Pharmacy

LBN: Farm Fresh Pharmacy Llc
Farm Fresh Pharmacy is an health care organization with primary practice located at 13151 W 10 Mile Rd Ste 1 , Oak Park MI 48237-4601. 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. Farm Fresh Pharmacy Llc can be contacted via phone (248) 545-5850, or through Jariwala, Hetalbehan via phone (248) 545-5850.

Contact Information

Primary practice address
13151 W 10 Mile Rd Ste 1 Oak Park MI 48237-4601
Fax: (248) 545-5851
Website:
Authorized official contact:
Name: Jariwala, Hetalbehan

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 5301009656 Michigan

Profile Details

NPI number 1851674709
LBN Legal business name Farm Fresh Pharmacy Llc
DBA Doing business as Farm Fresh Pharmacy
Authorized official Jariwala, Hetalbehan
Entity Organization
Organization subpart 1 No
Enumeration date Sep 27th, 2011
Last updated Jun 4th, 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 1851674709 NPPES
Other 2375877 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 1851674709 NCPDP PROVIDER IDENTIFICATION NUMBER

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