<Unavail>

LBN: Bloomfield Professional Pharmacy
<Unavail> is an health care organization with primary practice located at 2520 S Telegraph Rd Suite 100, Bloomfield Hills MI 48302-0285. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Bloomfield Professional Pharmacy can be contacted via phone (248) 758-9490, or through Ghannam, Edward via phone (248) 756-5123.

Contact Information

Primary practice address
2520 S Telegraph Rd Suite 100 Bloomfield Hills MI 48302-0285
Phone: (248) 758-9490
Fax: (248) 758-9502
Website:
Map and Directions
Authorized official contact:
Name: Ghannam, Edward
Phone: (248) 756-5123

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 5301009090 Michigan

Profile Details

NPI number 1265675037
LBN Legal business name Bloomfield Professional Pharmacy
DBA Doing business as <Unavail>
Authorized official Ghannam, Edward
Entity Organization
Organization subpart 1 No
Enumeration date Apr 9th, 2009
Last updated Apr 28th, 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 1265675037 NPPES
Other 2372629 NCPDP PROVIDER IDENTIFICATION NUMBER

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