Hazel Park Pharmacy

LBN: Hazel Park Pharmacy Inc
Hazel Park Pharmacy is an health care organization with primary practice located at 116 W 8 Mile Rd , Hazel Park MI 48030-2433. 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. Hazel Park Pharmacy Inc can be contacted via phone (248) 268-4504, or through Saiyad, Maksudali via phone (248) 835-8593.

Contact Information

Primary practice address
116 W 8 Mile Rd Hazel Park MI 48030-2433
Phone: (248) 268-4504
Fax: (248) 268-4600
Website:
Map and Directions
Authorized official contact:
Name: Saiyad, Maksudali
Phone: (248) 835-8593

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 5301011038 Michigan

Profile Details

NPI number 1538611447
LBN Legal business name Hazel Park Pharmacy Inc
DBA Doing business as Hazel Park Pharmacy
Authorized official Saiyad, Maksudali
Entity Organization
Organization subpart 1 No
Enumeration date Oct 26th, 2016
Last updated Dec 18th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538611447 NPPES
Other 2166000 PK
MEDICAID 20161118499929 PK

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