Thunder Bay Pharmacy

LBN: Thunder Bay Community Health Service, Inc
Thunder Bay Pharmacy is an health care organization with primary practice located at 11899 M 32 , Atlanta MI 49709-9374. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Thunder Bay Community Health Service, Inc can be contacted via phone (989) 785-5535, or through Wineman, Lori via phone (989) 785-5535.

Contact Information

Primary practice address
11899 M 32 Atlanta MI 49709-9374
Phone: (989) 785-5535
Fax: (989) 785-5267
Website:
Map and Directions
Authorized official contact:
Name: Wineman, Lori
Phone: (989) 785-5535

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Community/Retail Pharmacy 3336C0003X 5301007563 Michigan

Profile Details

NPI number 1528158441
LBN Legal business name Thunder Bay Community Health Service, Inc
DBA Doing business as Thunder Bay Pharmacy
Authorized official Wineman, Lori
Entity Organization
Organization subpart 1 No
Enumeration date Oct 13th, 2006
Last updated Apr 6th, 2017 - about 8 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 1528158441 NPPES
Michigan MEDICAID 2363959
Michigan Other 2363959

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