Pine Knob Sav Mor Pharmacy #6

LBN: Pine Knob Pharmacy 6 Inc
Pine Knob Sav Mor Pharmacy #6 is an health care organization with primary practice located at 1701 Baldwin Ave Suite 100, Pontiac MI 48340. 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. Pine Knob Pharmacy 6 Inc can be contacted via phone (248) 253-0521, or through Plas, Anthony Jay via phone (248) 253-0521.

Contact Information

Primary practice address
1701 Baldwin Ave Suite 100 Pontiac MI 48340
Phone: (248) 253-0521
Fax: (248) 253-0542
Website:
Map and Directions
Authorized official contact:
Name: Plas, Anthony Jay PHARM. D.
Phone: (248) 253-0521

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 5407550001 Michigan
Suppliers / Community/Retail Pharmacy 3336C0003X 5301008116 Michigan

Profile Details

NPI number 1508974973
LBN Legal business name Pine Knob Pharmacy 6 Inc
DBA Doing business as Pine Knob Sav Mor Pharmacy #6
Authorized official Plas, Anthony Jay PHARM. D.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 27th, 2006
Last updated Apr 14th, 2021 - about 5 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 1508974973 NPPES
Michigan Other 2366626 NCPDP
Michigan MEDICAID 2366626 NCPDP

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