Park Pharmacy
LBN: Park Pharmacy Inc
Park Pharmacy is an health care organization with primary practice located at 15126 Kercheval Ave , Grosse Pointe Park MI 48230-1360. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Park Pharmacy Inc can be contacted via phone (313) 822-0100, or through Abdallah, Ghada via phone (313) 822-0100.
Contact Information
Primary practice address
15126 Kercheval Ave
Grosse Pointe Park MI 48230-1360
Phone: (313) 822-0100
Fax: (313) 822-0101
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 5301008498 | Michigan |
| Suppliers / Long Term Care Pharmacy | 3336L0003X | 5301008498 | Michigan |
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1295824985 |
|---|---|
| LBN Legal business name | Park Pharmacy Inc |
| DBA Doing business as | Park Pharmacy |
| Authorized official | Abdallah, Ghada RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 12th, 2006 |
| Last updated | Oct 14th, 2016 - about 9 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 | 1295824985 | NPPES |
| Michigan | MEDICAID | 4998649-87 | |
| Michigan | Other | 2042400 |
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