Dearborn Family Pharmacy Ltc

LBN: Lakewood Family Pharmacy Llc
Dearborn Family Pharmacy Ltc is an health care organization with primary practice located at 17000 Executive Plaza Dr Ste 209 , Dearborn MI 48126-2793. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Lakewood Family Pharmacy Llc can be contacted via phone (313) 982-3770, or through Ismail, Hassan via phone (313) 982-3770.

Contact Information

Primary practice address
17000 Executive Plaza Dr Ste 209 Dearborn MI 48126-2793
Phone: (313) 982-3770
Fax: (313) 982-3771
Website:
Map and Directions
Authorized official contact:
Name: Ismail, Hassan B.S PHARMACY
Phone: (313) 982-3770

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 5301011107 Michigan
Suppliers / Long Term Care Pharmacy 3336L0003X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1326588294
LBN Legal business name Lakewood Family Pharmacy Llc
DBA Doing business as Dearborn Family Pharmacy Ltc
Authorized official Ismail, Hassan B.S PHARMACY
Entity Organization
Organization subpart 1 No
Enumeration date Feb 27th, 2017
Last updated Jan 23rd, 2024 - about 2 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 1326588294 NPPES
Michigan MEDICAID 2383052

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