Henry Ford Medical Center Pharmacy
LBN: Henry Ford Health System
Henry Ford Medical Center Pharmacy is an health care organization with primary practice located at 24725 Jefferson Ave , Saint Clair Shores MI 48080-4500. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Henry Ford Health System can be contacted via phone (586) 447-3680, or through Kus, Daniel via phone (248) 642-1111.
Contact Information
Primary practice address
24725 Jefferson Ave
Saint Clair Shores MI 48080-4500
Phone: (586) 447-3680
Fax: (586) 447-3660
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 5301006787 | Michigan |
Profile Details
| NPI number | 1265526669 |
|---|---|
| LBN Legal business name | Henry Ford Health System |
| DBA Doing business as | Henry Ford Medical Center Pharmacy |
| Authorized official | Kus, Daniel RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Dec 2nd, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265526669 | NPPES |
| Other | 2044192 | PK | |
| MEDICAID | 3476944 | PK |
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