Mercy Memorial Westside Pharmacy

LBN: Monroe Health Ventures, Inc
Mercy Memorial Westside Pharmacy is an health care organization with primary practice located at 100 Powell Dr Suite 1 , Dundee MI 48131. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Monroe Health Ventures, Inc can be contacted via phone (734) 240-3333, or through Jackel, James P via phone (734) 240-4527.

Contact Information

Primary practice address
100 Powell Dr Suite 1 Dundee MI 48131
Fax: (734) 240-3334
Website:
Authorized official contact:
Name: Jackel, James P

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 5301008257 Michigan
Suppliers / Clinic Pharmacy 3336C0002X

Profile Details

NPI number 1023059920
LBN Legal business name Monroe Health Ventures, Inc
DBA Doing business as Mercy Memorial Westside Pharmacy
Authorized official Jackel, James P
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 10th, 2006
Last updated Aug 4th, 2008 - about 17 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 1023059920 NPPES
Other 2367856 OTHER ID NUMBER-COMMERCIAL NUMBER

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