Great Lakes Rx Pharmacy

LBN: Great Lakes Rx Sav Mor Pharmacy
Great Lakes Rx Pharmacy is an health care organization with primary practice located at 1770 Fort St , Lincoln Park MI 48146-1904. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Great Lakes Rx Sav Mor Pharmacy can be contacted via phone (313) 827-9999, or through Khanafer, Wael via phone (133) 412-4622.

Contact Information

Primary practice address
1770 Fort St Lincoln Park MI 48146-1904
Phone: (313) 827-9999
Fax: (313) 827-0999
Website:
Map and Directions
Authorized official contact:
Name: Khanafer, Wael
Phone: (133) 412-4622

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 5301008773 Michigan

Profile Details

NPI number 1982888947
LBN Legal business name Great Lakes Rx Sav Mor Pharmacy
DBA Doing business as Great Lakes Rx Pharmacy
Authorized official Khanafer, Wael
Entity Organization
Organization subpart 1 No
Enumeration date Dec 26th, 2007
Last updated May 8th, 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 1982888947 NPPES
Other 2370702 NCPDP PROVIDER IDENTIFICATION NUMBER

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