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:
Map and Directions
Authorized official contact:
Name: Abdallah, Ghada RPH
Phone: (313) 822-0100

Health care specialties

SpecialtyCodeLicense #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 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 1295824985 NPPES
Michigan MEDICAID 4998649-87
Michigan Other 2042400

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