New Boston Pharmacy

LBN: Freedom Apothecary Iii Inc
New Boston Pharmacy is an health care organization with primary practice located at 19162 Huron River Dr , New Boston MI 48164-9727. 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. Freedom Apothecary Iii Inc can be contacted via phone (734) 753-9480, or through Tjolsen, Martha via phone (735) 753-9480.

Contact Information

Primary practice address
19162 Huron River Dr New Boston MI 48164-9727
Phone: (734) 753-9480
Fax: (734) 753-5397
Website:
Map and Directions
Authorized official contact:
Name: Tjolsen, Martha RPH
Phone: (735) 753-9480

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 5301008319 Michigan
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1437164050
LBN Legal business name Freedom Apothecary Iii Inc
DBA Doing business as New Boston Pharmacy
Authorized official Tjolsen, Martha RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2006
Last updated Apr 9th, 2008 - about 18 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 1437164050 NPPES
Other 2368062 OTHER ID NUMBER-COMMERCIAL NUMBER

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