Prestige Drugs Pharmacy

LBN: Pcd Corp
Prestige Drugs Pharmacy is an health care organization with primary practice located at 20770 Greenfield Rd , Oak Park MI 48237-3018. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Pcd Corp can be contacted via phone (248) 548-8985, or through Pencak, Derek via phone (248) 548-9935.

Contact Information

Primary practice address
20770 Greenfield Rd Oak Park MI 48237-3018
Fax: (248) 548-9935
Website:
Authorized official contact:
Name: Pencak, Derek

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 5301009146 Michigan

Profile Details

NPI number 1104059526
LBN Legal business name Pcd Corp
DBA Doing business as Prestige Drugs Pharmacy
Authorized official Pencak, Derek
Entity Organization
Organization subpart 1 No
Enumeration date Sep 2nd, 2009
Last updated Aug 29th, 2011 - about 13 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 1104059526 NPPES
Other 2373239 NCPDP PROVIDER IDENTIFICATION NUMBER

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