Medicap Pharmacy

LBN: Ddm Inc
Medicap Pharmacy is an health care organization with primary practice located at 4025 Chums Village Dr Ste A, Traverse City MI 49684-6992. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Ddm Inc can be contacted via phone (231) 943-0085, or through Maupin, Dale B via phone (231) 943-0085.

Contact Information

Primary practice address
4025 Chums Village Dr Ste A Traverse City MI 49684-6992
Phone: (231) 943-0085
Fax: (231) 943-0095
Website:
Map and Directions
Authorized official contact:
Name: Maupin, Dale B RPH
Phone: (231) 943-0085

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 5301007598 Michigan
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1447365473
LBN Legal business name Ddm Inc
DBA Doing business as Medicap Pharmacy
Authorized official Maupin, Dale B RPH
Entity Organization
Organization subpart 1 No
Enumeration date Aug 20th, 2006
Last updated Dec 29th, 2009 - about 16 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 1447365473 NPPES
Michigan MEDICAID 2364064
Michigan Other 2364064

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