Prestige Specialty Pharmacy

LBN: Prestige Specialty Pharmacy Llc
Prestige Specialty Pharmacy is an health care organization with primary practice located at 3739 15 Mile Rd , Sterling Heights MI 48310. The organization recently has only one registered license in Suppliers / Mail Order Pharmacy, which is considered as the primary health care specialty. Prestige Specialty Pharmacy Llc can be contacted via phone (877) 742-7621, or through Sharafeldin, Amro via phone (877) 742-7621.

Contact Information

Primary practice address
3739 15 Mile Rd Sterling Heights MI 48310
Phone: (877) 742-7621
Fax: (586) 883-9388
Website:
Map and Directions
Authorized official contact:
Name: Sharafeldin, Amro
Phone: (877) 742-7621

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Mail Order Pharmacy 3336M0002X 5301011349 Michigan

Profile Details

NPI number 1588142970
LBN Legal business name Prestige Specialty Pharmacy Llc
DBA Doing business as Prestige Specialty Pharmacy
Authorized official Sharafeldin, Amro
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2018
Last updated Jul 30th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1588142970 NPPES
Michigan MEDICAID 1306340955

Popular Providers