Executive Infusion Services Grand Blanc
LBN: Executive Infusion Services Llc
Executive Infusion Services Grand Blanc is an health care organization with primary practice located at 12821 D-13 S. Saqinaw St , Grand Blank MI 48439. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Home Infusion Therapy Pharmacy. Suppliers / Clinic Pharmacy is the primary health care specialty.
Executive Infusion Services Llc can be contacted via phone (313) 982-3220, or through Abueida, Aiman via phone (313) 982-3220.
Contact Information
Primary practice address
12821 D-13 S. Saqinaw St
Grand Blank MI 48439
Phone: (313) 982-3220
Fax: (313) 982-3221
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Clinic Pharmacy | 3336C0002X | 5301010096 | Michigan |
| Suppliers / Home Infusion Therapy Pharmacy | 3336H0001X |
Profile Details
| NPI number | 1548712979 |
|---|---|
| LBN Legal business name | Executive Infusion Services Llc |
| DBA Doing business as | Executive Infusion Services Grand Blanc |
| Authorized official | Abueida, Aiman |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 2nd, 2016 |
| Last updated | Dec 21st, 2016 - about 10 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 | 1548712979 | NPPES |
| Other | 2165926 | PK |
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