<Unavail>

LBN: Centerline City Pharmacy Llc
<Unavail> is an health care organization with primary practice located at 8033 E 10 Mile Rd Ste 103 , Center Line MI 48015-1454. The organization recently has 6 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Centerline City Pharmacy Llc can be contacted via phone (586) 427-5344, or through Chittiprolu, Chandra via phone (248) 635-8827.

Contact Information

Primary practice address
8033 E 10 Mile Rd Ste 103 Center Line MI 48015-1454
Phone: (586) 427-5344
Fax: (586) 427-5589
Website:
Map and Directions
Authorized official contact:
Name: Chittiprolu, Chandra
Phone: (248) 635-8827

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 5301009847 Michigan
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Long Term Care Pharmacy 3336L0003X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1538424858
LBN Legal business name Centerline City Pharmacy Llc
DBA Doing business as <Unavail>
Authorized official Chittiprolu, Chandra
Entity Organization
Organization subpart 1 No
Enumeration date Jul 12th, 2012
Last updated Oct 1st, 2013 - about 13 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 1538424858 NPPES
Other 2376968 NCPDP PROVIDER IDENTIFICATION NUMBER

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