Pro Care Pharmacy #3

LBN: Procare Pharmacy Services Llc
Pro Care Pharmacy #3 is an health care organization with primary practice located at 13111 Woodward Ave , Highland Park MI 48203-3781. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Clinic Pharmacy is the primary health care specialty. Procare Pharmacy Services Llc can be contacted via phone (313) 865-9900, or through Omar, Sammi via phone (313) 330-2700.

Contact Information

Primary practice address
13111 Woodward Ave Highland Park MI 48203-3781
Phone: (313) 865-9900
Fax: (313) 865-9910
Website:
Map and Directions
Authorized official contact:
Name: Omar, Sammi RPH
Phone: (313) 330-2700

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Clinic Pharmacy 3336C0002X 5301008466 Michigan
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1356553200
LBN Legal business name Procare Pharmacy Services Llc
DBA Doing business as Pro Care Pharmacy #3
Authorized official Omar, Sammi RPH
Entity Organization
Organization subpart 1 No
Enumeration date May 4th, 2007
Last updated Jul 19th, 2018 - about 8 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 1356553200 NPPES
Michigan MEDICAID 2368670
Michigan Other 2042340

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