Princes Pharmacy
LBN: Princes Pharmacy Llc
Princes Pharmacy is an health care organization with primary practice located at 26190 Outer Dr Ste 120 , Lincoln Park MI 48146-2084. 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.
Princes Pharmacy Llc can be contacted via phone (313) 887-7443, or through Sergey, Duman via phone (609) 772-1314.
Contact Information
Primary practice address
26190 Outer Dr Ste 120
Lincoln Park MI 48146-2084
Phone: (313) 887-7443
Fax: (313) 879-6929
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 5301010886 | Michigan |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1063872034 |
|---|---|
| LBN Legal business name | Princes Pharmacy Llc |
| DBA Doing business as | Princes Pharmacy |
| Authorized official | Sergey, Duman |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 3rd, 2016 |
| Last updated | Jan 22nd, 2021 - about 3 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 | 1063872034 | NPPES |
| Other | 2158419 | PK | |
| MEDICAID | 1063872034 | PK |
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