Community Care Rx Llc

LBN: Community Care Rx Llc
Community Care Rx Llc is an health care organization with primary practice located at 29484 Ford Rd , Garden City MI 48135-2318. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Community Care Rx Llc can be contacted via phone (313) 889-8909, or through Hider, Maisa Jamie via phone (313) 889-8909.

Contact Information

Primary practice address
29484 Ford Rd Garden City MI 48135-2318
Phone: (313) 889-8909
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hider, Maisa Jamie Doctor of Medicine (MD)
Phone: (313) 889-8909

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1346887866
LBN Legal business name Community Care Rx Llc
DBA Doing business as
Authorized official Hider, Maisa Jamie Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 3rd, 2019
Last updated May 24th, 2024 - about 2 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 1346887866 NPPES
Michigan Other 5301013030 STATE LICENSE

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