Jerry'S Pharmacy

LBN: Foster'S Super Markets, Inc
Jerry'S Pharmacy is an health care organization with primary practice located at 5760 West Houghton Lake Road , Lake City MI 49651-0430. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Foster'S Super Markets, Inc can be contacted via phone (231) 839-5800, or through Tran, Vinh via phone (231) 839-5800.

Contact Information

Primary practice address
5760 West Houghton Lake Road Lake City MI 49651-0430
Phone: (231) 839-5800
Fax: (231) 839-2206
Website:
Map and Directions
Authorized official contact:
Name: Tran, Vinh
Phone: (231) 839-5800

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1225188485
LBN Legal business name Foster'S Super Markets, Inc
DBA Doing business as Jerry'S Pharmacy
Authorized official Tran, Vinh
Entity Organization
Organization subpart 1 No
Enumeration date Jan 11th, 2007
Last updated Oct 20th, 2017 - about 7 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 1225188485 NPPES
Michigan MEDICAID 3245615

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