Bc Of Michigan Pharmacy

LBN: Madison Community Hospital Inc
Bc Of Michigan Pharmacy is an health care organization with primary practice located at 4050 E 12 Mile Rd , Warren MI 48092-2534. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Madison Community Hospital Inc can be contacted via phone (586) 578-0220, or through Gunabalan, Ryan via phone (248) 792-1746.

Contact Information

Primary practice address
4050 E 12 Mile Rd Warren MI 48092-2534
Fax: (586) 578-0225
Website:
Authorized official contact:
Name: Gunabalan, Ryan

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 5301008844 Michigan
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1962664060
LBN Legal business name Madison Community Hospital Inc
DBA Doing business as Bc Of Michigan Pharmacy
Authorized official Gunabalan, Ryan
Entity Organization
Organization subpart 1 No
Enumeration date Jun 30th, 2008
Last updated Apr 24th, 2015 - about 11 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 1962664060 NPPES
Michigan MEDICAID 2807858
Michigan Other 2043722

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