Premier Home Pharmacy Of Mi
LBN: Premier Home Pharmacy Of Mi
Premier Home Pharmacy Of Mi is an health care organization with primary practice located at 23874 Kean St Suite 120, Dearborn MI 48124-1804. 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.
Premier Home Pharmacy Of Mi can be contacted via phone (313) 887-9111, or through Raza, Syed via phone (734) 658-8985.
Contact Information
Primary practice address
23874 Kean St Suite 120
Dearborn MI 48124-1804
Phone: (313) 887-9111
Fax: (313) 887-4229
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 5301010075 | Michigan |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1831441971 |
|---|---|
| LBN Legal business name | Premier Home Pharmacy Of Mi |
| DBA Doing business as | Premier Home Pharmacy Of Mi |
| Authorized official | Raza, Syed |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 13th, 2012 |
| Last updated | Mar 2nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831441971 | NPPES |
| Michigan | MEDICAID | 1831441971 | |
| Michigan | Other | 2137422 |
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