Country Squire Pharmacy

LBN: The Country Squire Discount Pharmacy, Inc
Country Squire Pharmacy is an health care organization with primary practice located at 30 E Main , Fremont MI 49412-1244. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. The Country Squire Discount Pharmacy, Inc can be contacted via phone (231) 924-2120, or through Afman, Judson K via phone (231) 924-2120.

Contact Information

Primary practice address
30 E Main Fremont MI 49412-1244
Phone: (231) 924-2120
Fax: (231) 924-6310
Website:
Map and Directions
Authorized official contact:
Name: Afman, Judson K R. PH.
Phone: (231) 924-2120

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 5301001172 Michigan

Profile Details

NPI number 1700887148
LBN Legal business name The Country Squire Discount Pharmacy, Inc
DBA Doing business as Country Squire Pharmacy
Authorized official Afman, Judson K R. PH.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 9th, 2005
Last updated Jul 16th, 2008 - about 17 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 1700887148 NPPES
Michigan Other 540F210020 BCBS OF MI DME
Michigan MEDICAID 87411545 BCBS OF MI DME

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