<Unavail>

LBN: Sav Max Glory #2
<Unavail> is an health care organization with primary practice located at 14100 Woodward Ave , Highland Park MI 48203-2936. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Sav Max Glory #2 can be contacted via phone (313) 252-2400, or through Rifai, Mahmound via phone (313) 347-6022.

Contact Information

Primary practice address
14100 Woodward Ave Highland Park MI 48203-2936
Phone: (313) 252-2400
Fax: (313) 252-2459
Website:
Map and Directions
Authorized official contact:
Name: Rifai, Mahmound
Phone: (313) 347-6022

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X 5301009178 Michigan
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1245368901
LBN Legal business name Sav Max Glory #2
DBA Doing business as <Unavail>
Authorized official Rifai, Mahmound
Entity Organization
Organization subpart 1 No
Enumeration date Mar 2nd, 2007
Last updated Sep 15th, 2011 - about 15 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 1245368901 NPPES
Other 2369470 NCPDP PROVIDER IDENTIFICATION NUMBER

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