Sixth Street Drug Inc

LBN: Sixth Street Drugs Inc
Sixth Street Drug Inc is an health care organization with primary practice located at 1020 Sixth St , Traverse City MI 49684-2302. 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. Sixth Street Drugs Inc can be contacted via phone (231) 946-4570, or through Laraia, Kathleen via phone (231) 392-8410.

Contact Information

Primary practice address
1020 Sixth St Traverse City MI 49684-2302
Fax: (231) 946-2920
Website:
Authorized official contact:
Name: Laraia, Kathleen

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 5301001193 Michigan
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1730291725
LBN Legal business name Sixth Street Drugs Inc
DBA Doing business as Sixth Street Drug Inc
Authorized official Laraia, Kathleen
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Dec 29th, 2023 - about 2 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 1730291725 NPPES
Michigan MEDICAID 1730291725
Michigan Other 2041162

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