Farmer Jack Pharmacy

LBN: Bormans Inc
Farmer Jack Pharmacy is an health care organization with primary practice located at 14601 E 12 Mile Rd , Warren MI 48088-3874. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Bormans Inc can be contacted via phone (586) 774-4780, or through Kijowski, Susan via phone (201) 571-8326.

Contact Information

Primary practice address
14601 E 12 Mile Rd Warren MI 48088-3874
Phone: (586) 774-4780
Fax: (586) 774-6842
Website:
Map and Directions
Authorized official contact:
Name: Kijowski, Susan
Phone: (201) 571-8326

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 5301004539 Michigan
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1104841758
LBN Legal business name Bormans Inc
DBA Doing business as Farmer Jack Pharmacy
Authorized official Kijowski, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Jul 13th, 2006
Last updated Aug 22nd, 2020 - about 5 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 1104841758 NPPES
Michigan MEDICAID 2798184
Michigan Other 2321951

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