Waterford Medical Pharmacy Inc
LBN: Waterford Medical Pharmacy Inc
Waterford Medical Pharmacy Inc is an health care organization with primary practice located at 3560 Pontiac Lake Rd , Waterford MI 48328-2337. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Waterford Medical Pharmacy Inc can be contacted via phone (248) 674-4853, or through Garvin, Howard via phone (248) 674-4853.
Contact Information
Primary practice address
3560 Pontiac Lake Rd
Waterford MI 48328-2337
Phone: (248) 674-4853
Fax: (248) 674-3356
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 5301003530 | Michigan |
Profile Details
| NPI number | 1093726507 |
|---|---|
| LBN Legal business name | Waterford Medical Pharmacy Inc |
| DBA Doing business as | Waterford Medical Pharmacy Inc |
| Authorized official | Garvin, Howard |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Oct 19th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093726507 | NPPES |
| Other | 2329351 | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| MEDICAID | 2329351 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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