Gps Of Michigan Institutional

LBN: Gps Of Michigan Institutional
Gps Of Michigan Institutional is an health care organization with primary practice located at 1201 Keystone Ave Ste A, Lansing MI 48911-4041. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Institutional Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Gps Of Michigan Institutional can be contacted via phone (517) 882-5515, or through Ghannam, Fred via phone (517) 882-5515.

Contact Information

Primary practice address
1201 Keystone Ave Ste A Lansing MI 48911-4041
Phone: (517) 882-5515
Fax: (517) 882-6313
Website:
Map and Directions
Authorized official contact:
Name: Ghannam, Fred R PH
Phone: (517) 882-5515

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Institutional Pharmacy 3336I0012X
Suppliers / Long Term Care Pharmacy 3336L0003X 5301007720 Michigan

Profile Details

NPI number 1457387185
LBN Legal business name Gps Of Michigan Institutional
DBA Doing business as Gps Of Michigan Institutional
Authorized official Ghannam, Fred R PH
Entity Organization
Organization subpart 1 No
Enumeration date Jun 24th, 2006
Last updated Sep 1st, 2009 - about 15 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 1457387185 NPPES
Michigan MEDICAID 2364937
Michigan MEDICAID 0097325145
Michigan Other 2364937

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