Independent Community Phcy
LBN: Independent Community Pharmacy Inc
Independent Community Phcy is an health care organization with primary practice located at 8742 W Warren , Dearborn MI 48126. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
Independent Community Pharmacy Inc can be contacted via phone (313) 931-2133, or through Koblin, Victor via phone (318) 931-2133.
Contact Information
Primary practice address
8742 W Warren
Dearborn MI 48126
Phone: (313) 931-2133
Fax: (313) 931-3509
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | 5301003741 | Michigan |
| Suppliers / Clinic Pharmacy | 3336C0002X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1801991757 |
|---|---|
| LBN Legal business name | Independent Community Pharmacy Inc |
| DBA Doing business as | Independent Community Phcy |
| Authorized official | Koblin, Victor RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 14th, 2006 |
| Last updated | Aug 22nd, 2020 - about 5 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 | 1801991757 | NPPES |
| Michigan | MEDICAID | 2541233 | |
| Michigan | Other | 2333007 |
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