Rivertown Compounding Pharmacy

LBN: Heimdoll Holdings Inc
Rivertown Compounding Pharmacy is an health care organization with primary practice located at 4365 Canal Ave Sw Ste N Suite N, Grandville MI 49418-2697. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Compounding Pharmacy is the primary health care specialty. Heimdoll Holdings Inc can be contacted via phone (616) 723-9391, or through Heim, Mary via phone (616) 828-8565.

Contact Information

Primary practice address
4365 Canal Ave Sw Ste N Suite N Grandville MI 49418-2697
Phone: (616) 723-9391
Fax: (616) 288-9870
Website:
Map and Directions
Authorized official contact:
Name: Heim, Mary
Phone: (616) 828-8565

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Compounding Pharmacy 3336C0004X 5301011313 Michigan

Profile Details

NPI number 1992203970
LBN Legal business name Heimdoll Holdings Inc
DBA Doing business as Rivertown Compounding Pharmacy
Authorized official Heim, Mary
Entity Organization
Organization subpart 1 No
Enumeration date Jan 25th, 2018
Last updated Jan 25th, 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 1992203970 NPPES
Other 2175505 PK

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