Prestige Medical, Llc

LBN: Prestige Medical, Llc
Prestige Medical, Llc is an health care organization with primary practice located at 7940 N Lilley Rd Suite A-110, Canton MI 48187-2432. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Prestige Medical, Llc can be contacted via phone (313) 879-5047, or through Hamade, Fatima via phone (313) 879-5047.

Contact Information

Primary practice address
7940 N Lilley Rd Suite A-110 Canton MI 48187-2432
Fax: (888) 726-0494
Website:
Authorized official contact:
Name: Hamade, Fatima

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 5301010885 Michigan
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1386004216
LBN Legal business name Prestige Medical, Llc
DBA Doing business as Prestige Medical, Llc
Authorized official Hamade, Fatima
Entity Organization
Organization subpart 1 No
Enumeration date Mar 4th, 2016
Last updated Jul 29th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386004216 NPPES
Other 2158908 PK

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