Idm Pharmacy

LBN: Integrated Drug Management
Idm Pharmacy is an health care organization with primary practice located at 26541 Plymouth Rd , Redford MI 48239-2214. 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. Integrated Drug Management can be contacted via phone (313) 543-3414, or through Iroha, Faustina via phone (248) 943-1123.

Contact Information

Primary practice address
26541 Plymouth Rd Redford MI 48239-2214
Phone: (313) 543-3414
Fax: (313) 543-3416
Website:
Map and Directions
Authorized official contact:
Name: Iroha, Faustina
Phone: (248) 943-1123

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 5315052908 Michigan

Profile Details

NPI number 1316220155
LBN Legal business name Integrated Drug Management
DBA Doing business as Idm Pharmacy
Authorized official Iroha, Faustina
Entity Organization
Organization subpart 1 No
Enumeration date Sep 27th, 2011
Last updated Dec 13th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316220155 NPPES
Other 2132642 PK
MEDICAID 1316220155 PK

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