St Joseph Mercy Professional Pharmacy
LBN: St Joseph Mercy Professional Pharmacy
St Joseph Mercy Professional Pharmacy is an health care organization with primary practice located at 44405 Woodward Ave , Pontiac MI 48341-5023. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Home Infusion Therapy Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Specialty Pharmacy is the primary health care specialty.
St Joseph Mercy Professional Pharmacy can be contacted via phone (248) 452-5357, or through Wein, Phillip J via phone (248) 858-3053.
Contact Information
Primary practice address
44405 Woodward Ave
Pontiac MI 48341-5023
Phone: (248) 452-5357
Fax: (248) 452-5292
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 5301007139 | Michigan |
| Suppliers / Home Infusion Therapy Pharmacy | 3336H0001X | 5301007139 | Michigan |
| Suppliers / Specialty Pharmacy | 3336S0011X | 5301007139 | Michigan |
Profile Details
| NPI number | 1710073010 |
|---|---|
| LBN Legal business name | St Joseph Mercy Professional Pharmacy |
| DBA Doing business as | |
| Authorized official | Wein, Phillip J PHARMACIST |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 5th, 2006 |
| Last updated | Sep 11th, 2025 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710073010 | NPPES |
| Michigan | Other | 2360876 | NABP/NCPDP # |
| Michigan | MEDICAID | 4168904 | NABP/NCPDP # |
| Michigan | MEDICAID | 4168922 | NABP/NCPDP # |
| Michigan | Other | 5301007139 | NABP/NCPDP # |
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