Ltc Med Ex Direct

LBN: Med Ex Direct Llc
Ltc Med Ex Direct is an health care organization with primary practice located at 13201 Stephens Rd Suite C, Warren MI 48089-4340. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Med Ex Direct Llc can be contacted via phone (586) 353-6300, or through Gallant, John M via phone (586) 353-6337.

Contact Information

Primary practice address
13201 Stephens Rd Suite C Warren MI 48089-4340
Phone: (586) 353-6300
Fax: (877) 899-6360
Website:
Map and Directions
Authorized official contact:
Name: Gallant, John M
Phone: (586) 353-6337

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Compounding Pharmacy 3336C0004X 5315034144 Michigan
Suppliers / Long Term Care Pharmacy 3336L0003X 5315034144 Michigan

Profile Details

NPI number 1891970265
LBN Legal business name Med Ex Direct Llc
DBA Doing business as Ltc Med Ex Direct
Authorized official Gallant, John M
Entity Organization
Organization subpart 1 No
Enumeration date Jan 4th, 2008
Last updated Jun 11th, 2015 - about 10 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 1891970265 NPPES
Other 2370637 NCPDP

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