New Boston Rx Pharmacy

LBN: Huron River Pharmacy Llc
New Boston Rx 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. Huron River Pharmacy Llc can be contacted via phone (734) 753-2000, or through Mohamad-Ali, Ahmad via phone (313) 300-4221.

Contact Information

Primary practice address
19162 Huron River Dr New Boston MI 48164-9727
Phone: (734) 753-2000
Fax: (734) 753-2002
Website:
Map and Directions
Authorized official contact:
Name: Mohamad-Ali, Ahmad RPH
Phone: (313) 300-4221

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 5301009771 Michigan

Profile Details

NPI number 1548530041
LBN Legal business name Huron River Pharmacy Llc
DBA Doing business as New Boston Rx Pharmacy
Authorized official Mohamad-Ali, Ahmad RPH
Entity Organization
Organization subpart 1 No
Enumeration date Dec 31st, 2011
Last updated May 9th, 2012 - about 14 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 1548530041 NPPES
Other 2376336 NCPDP PROVIDER IDENTIFICATION NUMBER

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