Packard Discount Pharmacy Llc

LBN: Packard Discount Pharmacy Llc
Packard Discount Pharmacy Llc is an health care organization with primary practice located at 4726 Greenfield Rd Ste 101 , Dearborn MI 48126-4124. 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. Packard Discount Pharmacy Llc can be contacted via phone (313) 633-9310, or through Shariff, Abdulla via phone (313) 633-9310.

Contact Information

Primary practice address
4726 Greenfield Rd Ste 101 Dearborn MI 48126-4124
Phone: (313) 633-9310
Fax: (313) 633-9706
Website:
Map and Directions
Authorized official contact:
Name: Shariff, Abdulla
Phone: (313) 633-9310

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 5301010936 Michigan

Profile Details

NPI number 1194171850
LBN Legal business name Packard Discount Pharmacy Llc
DBA Doing business as
Authorized official Shariff, Abdulla
Entity Organization
Organization subpart 1 No
Enumeration date May 11th, 2016
Last updated Dec 19th, 2017 - about 9 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 1194171850 NPPES
Other 2160247 PK
MEDICAID 1194171850 PK

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