Pennock Pharmacy

LBN: Pennock Pharmacy, Inc.
Pennock Pharmacy is an health care organization with primary practice located at 1005 W Green St , Hastings MI 49058-1712. 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. Pennock Pharmacy, Inc. can be contacted via phone (269) 948-3136, or through Risner, Amanda via phone (269) 945-1212.

Contact Information

Primary practice address
1005 W Green St Hastings MI 49058-1712
Phone: (269) 948-3136
Fax: (269) 948-3134
Website:
Map and Directions
Authorized official contact:
Name: Risner, Amanda
Phone: (269) 945-1212

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 5301004710 Michigan

Profile Details

NPI number 1639243157
LBN Legal business name Pennock Pharmacy, Inc.
DBA Doing business as Pennock Pharmacy
Authorized official Risner, Amanda
Entity Organization
Organization subpart 1 No
Enumeration date Nov 17th, 2006
Last updated Apr 18th, 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 1639243157 NPPES
Other 2040181 PK
MEDICAID 1639243157 PK

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