Benton Harbor Community Pharmacy

LBN: Pgpa, Llc
Benton Harbor Community Pharmacy is an health care organization with primary practice located at 800 M 139 , Benton Harbor MI 49022-3881. 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. Pgpa, Llc can be contacted via phone (269) 849-8251, or through Adrian-Roberts, Lynne via phone (517) 381-7472.

Contact Information

Primary practice address
800 M 139 Benton Harbor MI 49022-3881
Phone: (269) 849-8251
Fax: (269) 927-2515
Website:
Map and Directions
Authorized official contact:
Name: Adrian-Roberts, Lynne
Phone: (517) 381-7472

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 5301010603 Michigan

Profile Details

NPI number 1255738746
LBN Legal business name Pgpa, Llc
DBA Doing business as Benton Harbor Community Pharmacy
Authorized official Adrian-Roberts, Lynne
Entity Organization
Organization subpart 1 No
Enumeration date Nov 26th, 2014
Last updated Aug 22nd, 2019 - about 7 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 1255738746 NPPES
Other 2149003 PK

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