Henry Ford Macomb Ambulatory Pharmacy #1
LBN: Henry Ford Macomb Hospital Corporation
Henry Ford Macomb Ambulatory Pharmacy #1 is an health care organization with primary practice located at 16151 19 Mile Rd Ste 100, Clinton Twp MI 48038-1158. 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 Macomb Hospital Corporation can be contacted via phone (586) 263-2677, or through Kus, Dan via phone (248) 723-0255.
Contact Information
Primary practice address
16151 19 Mile Rd Ste 100
Clinton Twp MI 48038-1158
Phone: (586) 263-2677
Fax: (586) 263-2567
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 5301005814 | Michigan |
Profile Details
| NPI number | 1548271059 |
|---|---|
| LBN Legal business name | Henry Ford Macomb Hospital Corporation |
| DBA Doing business as | Henry Ford Macomb Ambulatory Pharmacy #1 |
| Authorized official | Kus, Dan RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Jan 19th, 2017 - about 7 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 | 1548271059 | NPPES |
| Other | 2042145 | PK | |
| MEDICAID | 2350863 | PK |
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