<Unavail>

LBN: Bonne Sante Compounding Pharmacy Llc
<Unavail> is an health care organization with primary practice located at 36700 Woodward Ave Suite 105, Bloomfield Hills MI 48304-0926. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Bonne Sante Compounding Pharmacy Llc can be contacted via phone (249) 792-2920, or through Jayasuriya, Kshama via phone (248) 792-2920.

Contact Information

Primary practice address
36700 Woodward Ave Suite 105 Bloomfield Hills MI 48304-0926
Phone: (249) 792-2920
Fax: (248) 792-2865
Website:
Map and Directions
Authorized official contact:
Name: Jayasuriya, Kshama
Phone: (248) 792-2920

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 5301010444 Michigan
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1215342639
LBN Legal business name Bonne Sante Compounding Pharmacy Llc
DBA Doing business as <Unavail>
Authorized official Jayasuriya, Kshama
Entity Organization
Organization subpart 1 No
Enumeration date Jun 24th, 2014
Last updated Nov 13th, 2014 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215342639 NPPES
Other 2146643 PK

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