<Unavail>

LBN: Clinton Medical Pharmacy
<Unavail> is an health care organization with primary practice located at 43475 Dalcoma Dr Suite 110, Clinton Township MI 48038-3591. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Clinton Medical Pharmacy can be contacted via phone (586) 228-7601, or through Smith, Jennifer via phone (586) 228-7601.

Contact Information

Primary practice address
43475 Dalcoma Dr Suite 110 Clinton Township MI 48038-3591
Phone: (586) 228-7601
Fax: (586) 228-7605
Website:
Map and Directions
Authorized official contact:
Name: Smith, Jennifer
Phone: (586) 228-7601

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 5301008045 Michigan

Profile Details

NPI number 1245289362
LBN Legal business name Clinton Medical Pharmacy
DBA Doing business as <Unavail>
Authorized official Smith, Jennifer
Entity Organization
Organization subpart 1 No
Enumeration date May 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245289362 NPPES
Michigan MEDICAID B7957R

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