Great Lakes Pharmacy Of Midland
LBN: Pioneer Pharmacy Consulting Llc
Great Lakes Pharmacy Of Midland is an health care organization with primary practice located at 1120 Eastman Ave , Midland MI 48640-4215. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Pioneer Pharmacy Consulting Llc can be contacted via phone (989) 835-7911, or through Allen, David via phone (989) 615-7212.
Contact Information
Primary practice address
1120 Eastman Ave
Midland MI 48640-4215
Phone: (989) 835-7911
Fax: (989) 835-6975
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 5301009642 | Michigan |
Profile Details
| NPI number | 1942580972 |
|---|---|
| LBN Legal business name | Pioneer Pharmacy Consulting Llc |
| DBA Doing business as | Great Lakes Pharmacy Of Midland |
| Authorized official | Allen, David BS PHARMACY |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 22nd, 2011 |
| Last updated | Apr 26th, 2019 - about 6 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 | 1942580972 | NPPES |
| Michigan | MEDICAID | 1942580972 | |
| Michigan | Other | 2131633 |
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