Kd Pharmacy, Inc.

LBN: Kd Pharmacy, Inc.
Kd Pharmacy, Inc. is an health care organization with primary practice located at 3130 Gratiot Ave , Detroit MI 48207-2283. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Kd Pharmacy, Inc. can be contacted via phone (313) 924-0092, or through Dejongh, John via phone (248) 540-8066.

Contact Information

Primary practice address
3130 Gratiot Ave Detroit MI 48207-2283
Phone: (313) 924-0092
Fax: (313) 924-0118
Website:
Map and Directions
Authorized official contact:
Name: Dejongh, John
Phone: (248) 540-8066

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 5301007358 Michigan

Profile Details

NPI number 1184617912
LBN Legal business name Kd Pharmacy, Inc.
DBA Doing business as
Authorized official Dejongh, John
Entity Organization
Organization subpart 1 No
Enumeration date Aug 26th, 2005
Last updated Feb 12th, 2009 - about 17 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 1184617912 NPPES
Michigan MEDICAID 2362616
Michigan Other 1184617912
Michigan Other 2362616

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