St Joseph Mercy Professional Pharmacy

LBN: St Joseph Mercy Professional Pharmacy
St Joseph Mercy Professional Pharmacy is an health care organization with primary practice located at 44405 Woodward Ave , Pontiac MI 48341-5023. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Home Infusion Therapy Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. St Joseph Mercy Professional Pharmacy can be contacted via phone (248) 452-5357, or through Wein, Phillip J via phone (248) 858-3053.

Contact Information

Primary practice address
44405 Woodward Ave Pontiac MI 48341-5023
Phone: (248) 452-5357
Fax: (248) 452-5292
Website:
Map and Directions
Authorized official contact:
Name: Wein, Phillip J PHARMACIST
Phone: (248) 858-3053

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 5301007139 Michigan
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X 5301007139 Michigan
Suppliers / Specialty Pharmacy 3336S0011X 5301007139 Michigan

Profile Details

NPI number 1710073010
LBN Legal business name St Joseph Mercy Professional Pharmacy
DBA Doing business as
Authorized official Wein, Phillip J PHARMACIST
Entity Organization
Organization subpart 1 No
Enumeration date Oct 5th, 2006
Last updated Mar 7th, 2023 - about last year

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 1710073010 NPPES
Michigan Other 2360876 NABP/NCPDP #
Michigan MEDICAID 4168904 NABP/NCPDP #
Michigan MEDICAID 4168922 NABP/NCPDP #
Michigan Other 5301007139 NABP/NCPDP #

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