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:
Map and Directions
Authorized official contact:
Name: Pratt, Gregory
Phone: (517) 253-6310

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750464780 NPPES
Michigan MEDICAID 4948718
Michigan Other 2121711
Michigan MEDICAID 4184434

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