Prestige Specialty Pharmacy 102 Llc

LBN: Prestige Specialty Pharmacy 102 Llc
Prestige Specialty Pharmacy 102 Llc is an health care organization with primary practice located at 5815 17 Mile Rd Ste B , Sterling Heights MI 48310-6873. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Specialty Pharmacy is the primary health care specialty. Prestige Specialty Pharmacy 102 Llc can be contacted via phone (586) 800-8004, or through Hassan, Asma Moustafa Mohamed via phone (610) 390-2613.

Contact Information

Primary practice address
5815 17 Mile Rd Ste B Sterling Heights MI 48310-6873
Phone: (586) 800-8004
Fax: (877) 877-8134
Website:
Map and Directions
Authorized official contact:
Name: Hassan, Asma Moustafa Mohamed
Phone: (610) 390-2613

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1134905730
LBN Legal business name Prestige Specialty Pharmacy 102 Llc
DBA Doing business as
Authorized official Hassan, Asma Moustafa Mohamed
Entity Organization
Organization subpart 1 No
Enumeration date Sep 7th, 2023
Last updated Sep 7th, 2023 - about last year

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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