Macdonald Drug Store Inc
LBN: Macdonald Drug Store Inc
Macdonald Drug Store Inc is an health care organization with primary practice located at 512 Phoenix St , South Haven MI 49090-1443. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Macdonald Drug Store Inc can be contacted via phone (269) 637-1161, or through Soekarmoen, Kelly via phone (269) 649-1476.
Contact Information
Primary practice address
512 Phoenix St
South Haven MI 49090-1443
Phone: (269) 637-1161
Fax: (269) 639-2524
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 5301002169 | Michigan |
Profile Details
| NPI number | 1437105293 |
|---|---|
| LBN Legal business name | Macdonald Drug Store Inc |
| DBA Doing business as | Macdonald Drug Store Inc |
| Authorized official | Soekarmoen, Kelly RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 25th, 2006 |
| Last updated | May 20th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437105293 | NPPES |
| Michigan | MEDICAID | 871982298 | |
| Michigan | Other | 2041741 |
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