Pamida Pharmacy 304

LBN: Pamida Stores Operating Co Llc
Pamida Pharmacy 304 is an health care organization with primary practice located at 491 Us Highway 41 W , Ishpeming MI 49849-3400. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Pamida Stores Operating Co Llc can be contacted via phone (906) 486-4403, or through Harlow, John via phone (402) 596-7206.

Contact Information

Primary practice address
491 Us Highway 41 W Ishpeming MI 49849-3400
Phone: (906) 486-4403
Fax: (906) 486-4404
Website:
Map and Directions
Authorized official contact:
Name: Harlow, John
Phone: (402) 596-7206

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X 5301008379 Michigan

Profile Details

NPI number 1699728212
LBN Legal business name Pamida Stores Operating Co Llc
DBA Doing business as Pamida Pharmacy 304
Authorized official Harlow, John
Entity Organization
Organization subpart 1 No
Enumeration date May 17th, 2006
Last updated Nov 23rd, 2009 - about 17 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 1699728212 NPPES
Michigan MEDICAID 1972961
Michigan MEDICAID 2344454
Michigan MEDICAID 4819185
Michigan MEDICAID 4913463
Michigan Other 2344454

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