Dearborn Family Pharmacy Ltc
LBN: Lakewood Family Pharmacy Llc
Dearborn Family Pharmacy Ltc is an health care organization with primary practice located at 17000 Executive Plaza Dr Ste 209 , Dearborn MI 48126-2793. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty.
Lakewood Family Pharmacy Llc can be contacted via phone (313) 982-3770, or through Ismail, Hassan via phone (313) 982-3770.
Contact Information
Primary practice address
17000 Executive Plaza Dr Ste 209
Dearborn MI 48126-2793
Phone: (313) 982-3770
Fax: (313) 982-3771
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 5301011107 | Michigan |
| Suppliers / Long Term Care Pharmacy | 3336L0003X | ||
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1326588294 |
|---|---|
| LBN Legal business name | Lakewood Family Pharmacy Llc |
| DBA Doing business as | Dearborn Family Pharmacy Ltc |
| Authorized official | Ismail, Hassan B.S PHARMACY |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 27th, 2017 |
| Last updated | Jan 23rd, 2024 - about 11 months 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 | 1326588294 | NPPES |
| Michigan | MEDICAID | 2383052 |
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