Delton Family Pharmacy

LBN: Delton Family Pharmacy
Delton Family Pharmacy is an health care organization with primary practice located at 110 Maple St , Delton MI 49046. 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. Delton Family Pharmacy can be contacted via phone (269) 623-5250, or through Holtz, Michael via phone (269) 672-7774.

Contact Information

Primary practice address
110 Maple St Delton MI 49046
Phone: (269) 623-5250
Fax: (269) 623-5140
Website:
Map and Directions
Authorized official contact:
Name: Holtz, Michael RPH
Phone: (269) 672-7774

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 5301008076 Michigan
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1386758365
LBN Legal business name Delton Family Pharmacy
DBA Doing business as
Authorized official Holtz, Michael RPH
Entity Organization
Organization subpart 1 No
Enumeration date Aug 18th, 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 1386758365 NPPES
Michigan MEDICAID 1896117
Michigan Other 2333932

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