Lytle Pharmacy

LBN: Jbrx
Lytle Pharmacy is an health care organization with primary practice located at 340 S Main St 1, Rochester MI 48307-2030. 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. Jbrx can be contacted via phone (248) 651-8511, or through Blanchard, John via phone (248) 651-8511.

Contact Information

Primary practice address
340 S Main St 1 Rochester MI 48307-2030
Phone: (248) 651-8511
Fax: (248) 651-5413
Website:
Map and Directions
Authorized official contact:
Name: Blanchard, John PHARMD
Phone: (248) 651-8511

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 5301001923 Michigan

Profile Details

NPI number 1730129487
LBN Legal business name Jbrx
DBA Doing business as Lytle Pharmacy
Authorized official Blanchard, John PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Jun 8th, 2006
Last updated Aug 29th, 2018 - about 6 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 1730129487 NPPES
Other 2041541 PK
MEDICAID 2531863 PK

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