Red Crown Pharmacy

LBN: Red Crown I, Inc
Red Crown Pharmacy is an health care organization with primary practice located at 4206 Stadium Dr , Kalamazoo MI 49008-1446. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Red Crown I, Inc can be contacted via phone (269) 488-2630, or through Graham, Eric M via phone (269) 488-2630.

Contact Information

Primary practice address
4206 Stadium Dr Kalamazoo MI 49008-1446
Phone: (269) 488-2630
Fax: (269) 488-2631
Website:
Map and Directions
Authorized official contact:
Name: Graham, Eric M RPH
Phone: (269) 488-2630

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 5447160001 Michigan
Suppliers / Community/Retail Pharmacy 3336C0003X 5301008128 Michigan
Suppliers / Long Term Care Pharmacy 3336L0003X 5301008128 Michigan
Suppliers / Specialty Pharmacy 3336S0011X 5301008128 Michigan

Profile Details

NPI number 1891798401
LBN Legal business name Red Crown I, Inc
DBA Doing business as Red Crown Pharmacy
Authorized official Graham, Eric M RPH
Entity Organization
Organization subpart 1 No
Enumeration date May 27th, 2005
Last updated Apr 20th, 2008 - about 16 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 1891798401 NPPES
Michigan MEDICAID 2367008
Michigan MEDICAID 4833406

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