Portage Pharmacy
LBN: Portage Pharmacy, Inc.
Portage Pharmacy is an health care organization with primary practice located at 7966 Lovers Ln , Portage MI 49002-4446. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Portage Pharmacy, Inc. can be contacted via phone (269) 327-0033, or through Curtis, Lawrence via phone (269) 327-0033.
Contact Information
Primary practice address
7966 Lovers Ln
Portage MI 49002-4446
Phone: (269) 327-0033
Fax: (269) 327-2709
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | 5301002930 | Michigan |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | NP000798 | Pennsylvania |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 1994-43 | Wisconsin |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | NRP.022791200-03 | Ohio |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 035724 | New York |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 054.017842 | Illinois |
| Suppliers / Compounding Pharmacy | 3336C0004X | 64002337A | Indiana |
Profile Details
| NPI number | 1992735666 |
|---|---|
| LBN Legal business name | Portage Pharmacy, Inc. |
| DBA Doing business as | Portage Pharmacy |
| Authorized official | Curtis, Lawrence R.PH. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 5th, 2006 |
| Last updated | Jul 19th, 2018 - 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 | 1992735666 | NPPES |
| Michigan | MEDICAID | 2527217 | |
| Michigan | Other | 2040070 |
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