Mercy Memorial Macomb Pharmacy
LBN: Mercy Memorial Macomb Pharmacy
Mercy Memorial Macomb Pharmacy is an health care organization with primary practice located at 730 N Macomb St Ste 305 , Monroe MI 48162-2904. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Mercy Memorial Macomb Pharmacy can be contacted via phone (734) 240-4100, or through Sell, Jennifer via phone (734) 240-5295.
Contact Information
Primary practice address
730 N Macomb St Ste 305
Monroe MI 48162-2904
Phone: (734) 240-4100
Fax: (734) 240-4110
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 5301005703 | Michigan |
Profile Details
| NPI number | 1659314409 |
|---|---|
| LBN Legal business name | Mercy Memorial Macomb Pharmacy |
| DBA Doing business as | Mercy Memorial Macomb Pharmacy |
| Authorized official | Sell, Jennifer |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 13th, 2006 |
| Last updated | Jul 19th, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659314409 | NPPES |
| Other | 2041430 | PK | |
| MEDICAID | 23497832825862 | PK |
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