Holiday Pharmacy Pllc

LBN: Holiday Pharmacy Pllc
Holiday Pharmacy Pllc is an health care organization with primary practice located at 37771 Schoenherr Rd , Sterling Heights MI 48312-2302. 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. Holiday Pharmacy Pllc can be contacted via phone (586) 274-4332, or through Shanbaum, R Melody via phone (248) 546-5500.

Contact Information

Primary practice address
37771 Schoenherr Rd Sterling Heights MI 48312-2302
Fax: (586) 274-4828
Website:
Authorized official contact:
Name: Shanbaum, R Melody

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 5301003121 Michigan

Profile Details

NPI number 1952380065
LBN Legal business name Holiday Pharmacy Pllc
DBA Doing business as Holiday Pharmacy Pllc
Authorized official Shanbaum, R Melody
Entity Organization
Organization subpart 1 No
Enumeration date Jan 17th, 2006
Last updated Mar 12th, 2021 - about 3 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 1952380065 NPPES
Michigan MEDICAID 2318598
Michigan Other 2040962
Michigan MEDICAID 4845265

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