<Unavail>

LBN: Cfcc Specialty Pharmacy Llc
<Unavail> is an health care organization with primary practice located at 217 S Madison St Suite 1021 A And B, Traverse City MI 49684-2321. 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. Cfcc Specialty Pharmacy Llc can be contacted via phone (231) 392-8540, or through Kociemba, Paul via phone (231) 935-5682.

Contact Information

Primary practice address
217 S Madison St Suite 1021 A And B Traverse City MI 49684-2321
Phone: (231) 392-8540
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kociemba, Paul
Phone: (231) 935-5682

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 5301011031 Michigan
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1629520150
LBN Legal business name Cfcc Specialty Pharmacy Llc
DBA Doing business as <Unavail>
Authorized official Kociemba, Paul
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2016
Last updated Nov 23rd, 2016 - about 10 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 1629520150 NPPES
Other 2165924 PK

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