<Unavail>

LBN: Grand Blanc Rx Llc
<Unavail> is an health care organization with primary practice located at 8483 Holly Rd Ste 202 , Grand Blanc MI 48439-1840. 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. Grand Blanc Rx Llc can be contacted via phone (810) 344-6422, or through Tolf, Candi via phone (248) 862-6148.

Contact Information

Primary practice address
8483 Holly Rd Ste 202 Grand Blanc MI 48439-1840
Phone: (810) 344-6422
Fax: (810) 344-6421
Website:
Map and Directions
Authorized official contact:
Name: Tolf, Candi
Phone: (248) 862-6148

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 5301010813 Michigan

Profile Details

NPI number 1124530829
LBN Legal business name Grand Blanc Rx Llc
DBA Doing business as <Unavail>
Authorized official Tolf, Candi
Entity Organization
Organization subpart 1 No
Enumeration date Nov 2nd, 2017
Last updated Jul 19th, 2018 - about 8 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 1124530829 NPPES
Michigan MEDICAID 1124530829
Michigan Other 2173228

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