Village Pharmacy
LBN: Great Lakes Pharmacies I Inc
Village Pharmacy is an health care organization with primary practice located at 6213 Chicago Rd Suite 200 , Warren MI 48092. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Great Lakes Pharmacies I Inc can be contacted via phone (586) 751-7979, or through Harb, Robert via phone (248) 867-1683.
Contact Information
Primary practice address
6213 Chicago Rd Suite 200
Warren MI 48092
Phone: (586) 751-7979
Fax: (586) 751-0809
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 5301004106 | Michigan |
| Suppliers / Long Term Care Pharmacy | 3336L0003X | 5301004106 | Michigan |
Profile Details
| NPI number | 1093823460 |
|---|---|
| LBN Legal business name | Great Lakes Pharmacies I Inc |
| DBA Doing business as | Village Pharmacy |
| Authorized official | Harb, Robert RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 27th, 2006 |
| Last updated | Apr 22nd, 2024 - about 8 months 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 | 1093823460 | NPPES |
| Other | 2338499 | OTHER ID NUMBER | |
| MEDICAID | 1617121 | OTHER ID NUMBER |
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