Crittenton Medical Pharmacy

LBN: Crittenton Medical Pharmacy, Inc
Crittenton Medical Pharmacy is an health care organization with primary practice located at 1135 W University Dr Suite 105, Rochester MI 48307-1871. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Crittenton Medical Pharmacy, Inc can be contacted via phone (248) 650-2155, or through Druskovich, Gary via phone (269) 226-4890.

Contact Information

Primary practice address
1135 W University Dr Suite 105 Rochester MI 48307-1871
Phone: (248) 650-2155
Fax: (248) 650-6026
Website:
Map and Directions
Authorized official contact:
Name: Druskovich, Gary Doctor of Medicine (MD)
Phone: (269) 226-4890

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 5315024981 Michigan

Profile Details

NPI number 1174657431
LBN Legal business name Crittenton Medical Pharmacy, Inc
DBA Doing business as Crittenton Medical Pharmacy
Authorized official Druskovich, Gary Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 16th, 2007
Last updated Apr 27th, 2023 - about 3 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 1174657431 NPPES
Michigan MEDICAID 7034882

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