Pleasant Garden Drug Store

LBN: Midelu Incorporated
Pleasant Garden Drug Store is an health care organization with primary practice located at 4822 Pleasant Garden Rd , Pleasant Garden NC 27313-8253. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Midelu Incorporated can be contacted via phone (336) 674-5611, or through Griffin, Michael via phone (336) 963-3317.

Contact Information

Primary practice address
4822 Pleasant Garden Rd Pleasant Garden NC 27313-8253
Phone: (336) 674-5611
Fax: (336) 674-0995
Website:
Map and Directions
Authorized official contact:
Name: Griffin, Michael PHARMD
Phone: (336) 963-3317

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X 10031 North Carolina
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1902848500
LBN Legal business name Midelu Incorporated
DBA Doing business as Pleasant Garden Drug Store
Authorized official Griffin, Michael PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Jun 11th, 2006
Last updated Dec 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902848500 NPPES
North Carolina MEDICAID 0415281
North Carolina Other 2066637

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