Northeast Pharmacy
LBN: Professional Pharmacy Services-Ii Inc.
Northeast Pharmacy is an health care organization with primary practice located at 43900 Garfield Rd Ste 102, Clinton Twp MI 48038-1128. 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.
Professional Pharmacy Services-Ii Inc. can be contacted via phone (586) 263-6400, or through Wilczynski, John via phone (586) 263-6400.
Contact Information
Primary practice address
43900 Garfield Rd Ste 102
Clinton Twp MI 48038-1128
Phone: (586) 263-6400
Fax: (586) 263-9463
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 5301006929 | Michigan |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1639114333 |
|---|---|
| LBN Legal business name | Professional Pharmacy Services-Ii Inc. |
| DBA Doing business as | Northeast Pharmacy |
| Authorized official | Wilczynski, John BS PHARMACY |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 17th, 2006 |
| Last updated | Apr 6th, 2016 - about 9 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 | 1639114333 | NPPES |
| Michigan | MEDICAID | 2359544 | |
| Michigan | Other | 2044386 |
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