Farmer Jack Pharmacy
LBN: Bormans Inc
Farmer Jack Pharmacy is an health care organization with primary practice located at 22128 Farmington Rd , Farmington MI 48336-4010. 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 (248) 474-7815, or through Kijowski, Susan via phone (201) 571-8326.
Contact Information
Primary practice address
22128 Farmington Rd
Farmington MI 48336-4010
Phone: (248) 474-7815
Fax: (248) 474-2422
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | 5301004530 | Michigan |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1386669935 |
|---|---|
| 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 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386669935 | NPPES |
| Other | 2339617 | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| MEDICAID | 2797955 | OTHER ID NUMBER-COMMERCIAL NUMBER |
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