Superior Compounding Pharmacy Llc

LBN: Superior Compounding Pharmacy Llc
Superior Compounding Pharmacy Llc is an health care organization with primary practice located at 46983 Five Mile Rd , Plymouth MI 48170-2486. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Home Infusion Therapy Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Specialty Pharmacy is the primary health care specialty. Superior Compounding Pharmacy Llc can be contacted via phone (734) 404-6065, or through Shehadeh, Ali via phone (734) 404-6065.

Contact Information

Primary practice address
46983 Five Mile Rd Plymouth MI 48170-2486
Phone: (734) 404-6065
Fax: (734) 892-2909
Website:
Map and Directions
Authorized official contact:
Name: Shehadeh, Ali
Phone: (734) 404-6065

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1093216616
LBN Legal business name Superior Compounding Pharmacy Llc
DBA Doing business as Superior Compounding Pharmacy Llc
Authorized official Shehadeh, Ali
Entity Organization
Organization subpart 1 No
Enumeration date Feb 28th, 2018
Last updated Apr 21st, 2021 - about 3 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 1093216616 NPPES
Other 2176794 PK

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