Wiltse'S Community Pharmacy

LBN: Knab Pharmacy Inc
Wiltse'S Community Pharmacy is an health care organization with primary practice located at 330 S Main St , Plymouth MI 48170-1604. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Knab Pharmacy Inc can be contacted via phone (734) 453-4848, or through Knab, D D via phone (734) 453-4848.

Contact Information

Primary practice address
330 S Main St Plymouth MI 48170-1604
Fax: (734) 453-4090
Website:
Authorized official contact:
Name: Knab, D D PHARMACIST

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 5301000965 Michigan

Profile Details

NPI number 1497757355
LBN Legal business name Knab Pharmacy Inc
DBA Doing business as Wiltse'S Community Pharmacy
Authorized official Knab, D D PHARMACIST
Entity Organization
Organization subpart 1 No
Enumeration date Aug 11th, 2005
Last updated Dec 21st, 2015 - about 9 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 1497757355 NPPES
Michigan MEDICAID 2310643

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