Cet Pharmacy 1005

LBN: Cet Pharmacy Grand Rapids Llc
Cet Pharmacy 1005 is an health care organization with primary practice located at 2060 E Paris Ave Se Ste 110 , Grand Rapids MI 49546-6113. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Cet Pharmacy Grand Rapids Llc can be contacted via phone (616) 957-9191, or through Azzi, Chadi via phone (248) 818-0766.

Contact Information

Primary practice address
2060 E Paris Ave Se Ste 110 Grand Rapids MI 49546-6113
Phone: (616) 957-9191
Fax: (616) 957-9160
Website:
Map and Directions
Authorized official contact:
Name: Azzi, Chadi RPH
Phone: (248) 818-0766

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 5301010112 Michigan

Profile Details

NPI number 1073950994
LBN Legal business name Cet Pharmacy Grand Rapids Llc
DBA Doing business as Cet Pharmacy 1005
Authorized official Azzi, Chadi RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jun 1st, 2013
Last updated Dec 31st, 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 1073950994 NPPES
Michigan MEDICAID 1073950994
Michigan Other 2140605

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