Red Cap Pharmacy 001

LBN: Red Cap Pharmacy 001 Llc
Red Cap Pharmacy 001 is an health care organization with primary practice located at 214 N West Ave Ste A , Jackson MI 49201-1903. 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. Red Cap Pharmacy 001 Llc can be contacted via phone (517) 879-4877, or through Aboukhodr, Mohamad Issa via phone (517) 879-4877.

Contact Information

Primary practice address
214 N West Ave Ste A Jackson MI 49201-1903
Phone: (517) 879-4877
Fax: (517) 879-1873
Website:
Map and Directions
Authorized official contact:
Name: Aboukhodr, Mohamad Issa
Phone: (517) 879-4877

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 5301011054 Michigan

Profile Details

NPI number 1619410321
LBN Legal business name Red Cap Pharmacy 001 Llc
DBA Doing business as Red Cap Pharmacy 001
Authorized official Aboukhodr, Mohamad Issa
Entity Organization
Organization subpart 1 No
Enumeration date Nov 29th, 2016
Last updated Jan 9th, 2023 - about 3 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 1619410321 NPPES
Other 2166443 PK

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