Qualicare Rx, Llc

LBN: Qualicare Rx, Llc
Qualicare Rx, Llc is an health care organization with primary practice located at 28370 Joy Rd , Livonia MI 48150-4133. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Qualicare Rx, Llc can be contacted via phone (734) 469-2930, or through Tanana, Mohamed via phone (734) 469-2931.

Contact Information

Primary practice address
28370 Joy Rd Livonia MI 48150-4133
Phone: (734) 469-2930
Fax: (734) 469-2929
Website:
Map and Directions
Authorized official contact:
Name: Tanana, Mohamed
Phone: (734) 469-2931

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Long Term Care Pharmacy 3336L0003X 5301011110 Michigan

Profile Details

NPI number 1851831036
LBN Legal business name Qualicare Rx, Llc
DBA Doing business as Qualicare Rx, Llc
Authorized official Tanana, Mohamed
Entity Organization
Organization subpart 1 No
Enumeration date Mar 7th, 2017
Last updated Apr 19th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851831036 NPPES
Other 2168098 PK
MEDICAID 1851831036 PK

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