Super Value Pharmacy

LBN: Super Value Pharmacy
Super Value Pharmacy is an health care organization with primary practice located at 825 W 9 Mile Rd , Ferndale MI 48220-1267. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Super Value Pharmacy can be contacted via phone (248) 591-0050, or through Pathuri, Srinivas via phone (248) 591-0050.

Contact Information

Primary practice address
825 W 9 Mile Rd Ferndale MI 48220-1267
Phone: (248) 591-0050
Fax: (248) 591-0080
Website:
Map and Directions
Authorized official contact:
Name: Pathuri, Srinivas
Phone: (248) 591-0050

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 530100933 Michigan

Profile Details

NPI number 1902122484
LBN Legal business name Super Value Pharmacy
DBA Doing business as Super Value Pharmacy
Authorized official Pathuri, Srinivas
Entity Organization
Organization subpart 1 No
Enumeration date Apr 9th, 2010
Last updated Apr 9th, 2010 - about 16 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 1902122484 NPPES
Other 2373835 NCPDP PROVIDER IDENTIFICATION NUMBER

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