Mediserv Pharmacy

LBN: Mediserv Inc
Mediserv Pharmacy is an health care organization with primary practice located at 125 S Cherry St Suite C, Flushing MI 48433-2018. The organization recently has 6 registered licenses in different health care specialties including Laboratories / Clinical Medical Laboratory, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Mediserv Inc can be contacted via phone (810) 659-8868, or through Dorhout, Raymond Gordon via phone (616) 340-8780.

Contact Information

Primary practice address
125 S Cherry St Suite C Flushing MI 48433-2018
Phone: (810) 659-8868
Fax: (810) 659-6789
Website:
Map and Directions
Authorized official contact:
Name: Dorhout, Raymond Gordon PHARMACIST
Phone: (616) 340-8780

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X 5301008816 Michigan
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 5301008816 Michigan
Suppliers / Pharmacy 333600000X 5301008816 Michigan
Suppliers / Compounding Pharmacy 3336C0004X 5301008816 Michigan
Suppliers / Long Term Care Pharmacy 3336L0003X 5301008816 Michigan
Suppliers / Specialty Pharmacy 3336S0011X 5301008816 Michigan

Profile Details

NPI number 1215106034
LBN Legal business name Mediserv Inc
DBA Doing business as Mediserv Pharmacy
Authorized official Dorhout, Raymond Gordon PHARMACIST
Entity Organization
Organization subpart 1 No
Enumeration date Feb 26th, 2008
Last updated Jun 10th, 2008 - about 18 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 1215106034 NPPES
Michigan Other 5301008816 PHARMACY
Michigan Other 5315034738 PHARMACY

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