Goddard Pharmacy
LBN: Ocean Pharmacy Inc.
Goddard Pharmacy is an health care organization with primary practice located at 25416 Goddard Rd , Taylor MI 48180-6200. The organization recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Suppliers / Community/Retail Pharmacy. Pharmacy Service Providers / Pharmacist is the primary health care specialty.
Ocean Pharmacy Inc. can be contacted via phone (313) 291-1100, or through Dempich, Carl F via phone (313) 291-1100.
Contact Information
Primary practice address
25416 Goddard Rd
Taylor MI 48180-6200
Phone: (313) 291-1100
Fax: (313) 291-1308
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 5302023943 | Michigan |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 5301006897 | Michigan |
Profile Details
| NPI number | 1114929874 |
|---|---|
| LBN Legal business name | Ocean Pharmacy Inc. |
| DBA Doing business as | Goddard Pharmacy |
| Authorized official | Dempich, Carl F PHARMACIST |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 12th, 2005 |
| Last updated | Aug 22nd, 2020 - about 5 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 | 1114929874 | NPPES |
| Michigan | MEDICAID | 2342866 | |
| Michigan | Other | 2342866 |
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