<Unavail>

LBN: Highland Park Glory Pharmacy Llc
<Unavail> is an health care organization with primary practice located at 23815 Northwestern Hwy Ste 120 , Southfield MI 48075-7738. 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. Highland Park Glory Pharmacy Llc can be contacted via phone (248) 996-8441, or through Sohoubah, Mohamed via phone (248) 663-3380.

Contact Information

Primary practice address
23815 Northwestern Hwy Ste 120 Southfield MI 48075-7738
Phone: (248) 996-8441
Fax: (248) 996-8827
Website:
Map and Directions
Authorized official contact:
Name: Sohoubah, Mohamed
Phone: (248) 663-3380

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 5301010044 Michigan

Profile Details

NPI number 1821439621
LBN Legal business name Highland Park Glory Pharmacy Llc
DBA Doing business as <Unavail>
Authorized official Sohoubah, Mohamed
Entity Organization
Organization subpart 1 No
Enumeration date Jul 10th, 2013
Last updated Oct 12th, 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 1821439621 NPPES
Michigan MEDICAID 1821439621
Michigan Other 2141090

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