Modern Medical Pharmacy Inc

LBN: Modern Medical Pharmacy Inc
Modern Medical Pharmacy Inc is an health care organization with primary practice located at 20937 Kelly Rd , Eastpointe MI 48021-3128. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Modern Medical Pharmacy Inc can be contacted via phone (586) 772-4800, or through Grimaudo, James via phone (586) 772-4800.

Contact Information

Primary practice address
20937 Kelly Rd Eastpointe MI 48021-3128
Phone: (586) 772-4800
Fax: (586) 772-4870
Website:
Map and Directions
Authorized official contact:
Name: Grimaudo, James
Phone: (586) 772-4800

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 5301002419 Michigan
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1568574556
LBN Legal business name Modern Medical Pharmacy Inc
DBA Doing business as
Authorized official Grimaudo, James
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Aug 22nd, 2020 - about 4 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 1568574556 NPPES
Michigan MEDICAID 0217470001
Michigan Other 2311431

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