Belavista Pharmacy Inc

LBN: Belavista Pharmacy Inc
Belavista Pharmacy Inc is an health care organization with primary practice located at 347 Inkster Rd , Inkster MI 48141-1208. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Belavista Pharmacy Inc can be contacted via phone (313) 563-5300, or through Nassar, Ali via phone (313) 485-1411.

Contact Information

Primary practice address
347 Inkster Rd Inkster MI 48141-1208
Fax: (313) 563-5353
Website:
Authorized official contact:
Name: Nassar, Ali

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 5301007885 Michigan
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1831100478
LBN Legal business name Belavista Pharmacy Inc
DBA Doing business as Belavista Pharmacy Inc
Authorized official Nassar, Ali
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2006
Last updated Aug 10th, 2012 - about 14 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 1831100478 NPPES
Other 2365814 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 874667074 NCPDP PROVIDER IDENTIFICATION NUMBER

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