Fulton Pharmacy Inc

LBN: Fulton Pharmacy Inc
Fulton Pharmacy Inc is an health care organization with primary practice located at 738 W Fulton St , Grand Rapids MI 49504-6320. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Fulton Pharmacy Inc can be contacted via phone (616) 293-1258, or through Anthony, Suzanne Nash via phone (616) 791-2014.

Contact Information

Primary practice address
738 W Fulton St Grand Rapids MI 49504-6320
Phone: (616) 293-1258
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Anthony, Suzanne Nash RPH
Phone: (616) 791-2014

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 5301005576 Michigan

Profile Details

NPI number 1093704371
LBN Legal business name Fulton Pharmacy Inc
DBA Doing business as
Authorized official Anthony, Suzanne Nash RPH
Entity Organization
Organization subpart 1 No
Enumeration date Oct 19th, 2005
Last updated Mar 7th, 2023 - about last year

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 1093704371 NPPES
Michigan MEDICAID 4734275
Michigan Other 2348678
Michigan MEDICAID 2348678

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