Mattawan Village Pharmacy

LBN: Afav Enterprises Llc
Mattawan Village Pharmacy is an health care organization with primary practice located at 52366 N Main St , Mattawan MI 49071-9332. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Afav Enterprises Llc can be contacted via phone (269) 668-3366, or through Favreau, Andrea via phone (269) 998-8320.

Contact Information

Primary practice address
52366 N Main St Mattawan MI 49071-9332
Phone: (269) 668-3366
Fax: (269) 668-3439
Website:
Map and Directions
Authorized official contact:
Name: Favreau, Andrea
Phone: (269) 998-8320

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 5301009053 Michigan

Profile Details

NPI number 1730327784
LBN Legal business name Afav Enterprises Llc
DBA Doing business as Mattawan Village Pharmacy
Authorized official Favreau, Andrea
Entity Organization
Organization subpart 1 No
Enumeration date Jan 29th, 2009
Last updated Jun 19th, 2009 - 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 1730327784 NPPES
Other 2372465 NCPDP PROVIDER IDENTIFICATION NUMBER

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