Pine Knob Savmor Pharmacy 4

LBN: Pine Knob Pharmacy 4 Inc
Pine Knob Savmor Pharmacy 4 is an health care organization with primary practice located at 5710 Bella Rosa Blvd , Clarkston MI 48348-4773. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Pine Knob Pharmacy 4 Inc can be contacted via phone (248) 620-0296, or through Graham, Stephen via phone (248) 348-1570.

Contact Information

Primary practice address
5710 Bella Rosa Blvd Clarkston MI 48348-4773
Phone: (248) 620-0296
Fax: (248) 674-7436
Website:
Map and Directions
Authorized official contact:
Name: Graham, Stephen
Phone: (248) 348-1570

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 5301006722 Michigan

Profile Details

NPI number 1255449625
LBN Legal business name Pine Knob Pharmacy 4 Inc
DBA Doing business as Pine Knob Savmor Pharmacy 4
Authorized official Graham, Stephen
Entity Organization
Organization subpart 1 No
Enumeration date Aug 27th, 2006
Last updated Apr 15th, 2008 - about 16 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 1255449625 NPPES
Other 2357728 OTHER ID NUMBER
MEDICAID 2357728 OTHER ID NUMBER

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