Sparrow Pharmacy Plus #4
LBN: Edward W. Sparrow Hospital Association
Sparrow Pharmacy Plus #4 is an health care organization with primary practice located at 1015 Charlevoix Dr , Grand Ledge MI 48837-2278. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Edward W. Sparrow Hospital Association can be contacted via phone (517) 627-1670, or through Pratt, Gregory via phone (517) 253-6310.
Contact Information
Primary practice address
1015 Charlevoix Dr
Grand Ledge MI 48837-2278
Phone: (517) 627-1670
Fax: (517) 627-0068
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 5301006695 | Michigan |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1750464780 |
|---|---|
| LBN Legal business name | Edward W. Sparrow Hospital Association |
| DBA Doing business as | Sparrow Pharmacy Plus #4 |
| Authorized official | Pratt, Gregory |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 23rd, 2006 |
| Last updated | Jan 28th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750464780 | NPPES |
| Michigan | MEDICAID | 4948718 | |
| Michigan | Other | 2121711 | |
| Michigan | MEDICAID | 4184434 |
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