<Unavail>

LBN: Pgpa Llc
<Unavail> is an health care organization with primary practice located at 3544 Meridian Crossings Ste 120, Okemos MI 48864-6025. 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 (517) 381-7472, or through Adrianroberts, Lynne via phone (517) 381-7472.

Contact Information

Primary practice address
3544 Meridian Crossings Ste 120 Okemos MI 48864-6025
Phone: (517) 381-7472
Fax: (517) 381-8724
Website:
Map and Directions
Authorized official contact:
Name: Adrianroberts, Lynne
Phone: (517) 381-7472

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 5301006602 Michigan

Profile Details

NPI number 1548334063
LBN Legal business name Pgpa Llc
DBA Doing business as <Unavail>
Authorized official Adrianroberts, Lynne
Entity Organization
Organization subpart 1 No
Enumeration date Nov 17th, 2006
Last updated Mar 8th, 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 1548334063 NPPES
Other 2043986 PK
MEDICAID 3368731 PK
MEDICAID 00668987 PK

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