Fort Street Pharmacy
LBN: Fort Street Pharmacy
Fort Street Pharmacy is an health care organization with primary practice located at 2255 Fort St , Lincoln Park MI 48146-2671. 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.
Fort Street Pharmacy can be contacted via phone (313) 357-7500, or through Leach, John via phone (313) 357-7500.
Contact Information
Primary practice address
2255 Fort St
Lincoln Park MI 48146-2671
Phone: (313) 357-7500
Fax: (313) 357-7502
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 5301004123 | Michigan |
Profile Details
| NPI number | 1477699080 |
|---|---|
| LBN Legal business name | Fort Street Pharmacy |
| DBA Doing business as | |
| Authorized official | Leach, John |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 30th, 2007 |
| Last updated | Apr 26th, 2011 - about 13 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 | 1477699080 | NPPES |
| Other | 2339085 | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| Other | 2339085 | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| MEDICAID | 1645190 | OTHER ID NUMBER-COMMERCIAL NUMBER |
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