John S Ltc Pharmacy

LBN: John S Ltc Pharmacy Inc.
John S Ltc Pharmacy is an health care organization with primary practice located at 48887 Hayes Rd Ste B , Shelby Township MI 48315-4405. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. John S Ltc Pharmacy Inc. can be contacted via phone (586) 279-3333, or through Ciraulo, Giovanni via phone (586) 201-7801.

Contact Information

Primary practice address
48887 Hayes Rd Ste B Shelby Township MI 48315-4405
Fax: (586) 279-1209
Website:
Authorized official contact:
Name: Ciraulo, Giovanni

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X 5301010782 Michigan
Suppliers / Long Term Care Pharmacy 3336L0003X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1346629615
LBN Legal business name John S Ltc Pharmacy Inc.
DBA Doing business as John S Ltc Pharmacy
Authorized official Ciraulo, Giovanni
Entity Organization
Organization subpart 1 No
Enumeration date May 20th, 2015
Last updated Oct 20th, 2020 - about 4 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 1346629615 NPPES
Michigan MEDICAID 1346629615
Michigan Other 2156097

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