Livernois Express Pharmacy

LBN: Livernois Express Pharmacy
Livernois Express Pharmacy is an health care organization with primary practice located at 15530 Puritan St , Detroit MI 48227-2342. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Livernois Express Pharmacy can be contacted via phone (313) 659-1622, or through Duru, C Oliver via phone (313) 659-1622.

Contact Information

Primary practice address
15530 Puritan St Detroit MI 48227-2342
Phone: (313) 659-1622
Fax: (313) 659-1621
Website:
Map and Directions
Authorized official contact:
Name: Duru, C Oliver RPH
Phone: (313) 659-1622

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 5301008192 Michigan
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1417962028
LBN Legal business name Livernois Express Pharmacy
DBA Doing business as Livernois Express Pharmacy
Authorized official Duru, C Oliver RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2006
Last updated Jan 20th, 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 1417962028 NPPES
Other 2041990 PK
MEDICAID 2367553 PK

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