Vital Pharmacy
LBN: Ford-Tel Pharmacy Inc
Vital Pharmacy is an health care organization with primary practice located at 23800 Ford Rd , Dearborn Heights MI 48127. 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.
Ford-Tel Pharmacy Inc can be contacted via phone (313) 274-4647, or through Hammoud, Bassam Taysir via phone (313) 274-4647.
Contact Information
Primary practice address
23800 Ford Rd
Dearborn Heights MI 48127
Phone: (313) 274-4647
Fax: (313) 274-6249
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | 5401005762 | Michigan |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | Michigan |
Profile Details
| NPI number | 1801947791 |
|---|---|
| LBN Legal business name | Ford-Tel Pharmacy Inc |
| DBA Doing business as | Vital Pharmacy |
| Authorized official | Hammoud, Bassam Taysir RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 16th, 2007 |
| Last updated | Mar 14th, 2016 - about 9 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 | 1801947791 | NPPES |
| Michigan | Other | 540Q204140 | BCBSM DME |
| Michigan | MEDICAID | 872879783 | BCBSM DME |
| Michigan | Other | 2350231 | BCBSM DME |
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