Pauls Pharmacy Inc

LBN: Pauls Pharmacy Inc
Pauls Pharmacy Inc is an health care organization with primary practice located at 803 Lincoln Ave , Holland MI 49423. 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. Pauls Pharmacy Inc can be contacted via phone (616) 396-5233, or through Bussis, James L via phone (616) 396-5233.

Contact Information

Primary practice address
803 Lincoln Ave Holland MI 49423
Phone: (616) 396-5233
Fax: (616) 396-4270
Website:
Map and Directions
Authorized official contact:
Name: Bussis, James L RPH
Phone: (616) 396-5233

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 5301000422 Michigan
Suppliers / Community/Retail Pharmacy 3336C0003X 5301000422 Michigan

Profile Details

NPI number 1326056391
LBN Legal business name Pauls Pharmacy Inc
DBA Doing business as
Authorized official Bussis, James L RPH
Entity Organization
Organization subpart 1 No
Enumeration date Aug 4th, 2006
Last updated Dec 8th, 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 1326056391 NPPES
Michigan MEDICAID 2513945
Michigan Other 2306935

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