Three Rivers Village Pharmacy

LBN: Three Rivers Village Pharmacy
Three Rivers Village Pharmacy is an health care organization with primary practice located at 300 Enterprise Dr , Three Rivers MI 49093-2376. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Three Rivers Village Pharmacy can be contacted via phone (269) 279-0465, or through Murk, Steven via phone (269) 637-1517.

Contact Information

Primary practice address
300 Enterprise Dr Three Rivers MI 49093-2376
Phone: (269) 279-0465
Fax: (269) 279-0425
Website:
Map and Directions
Authorized official contact:
Name: Murk, Steven
Phone: (269) 637-1517

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 5301007506 Michigan
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1588600498
LBN Legal business name Three Rivers Village Pharmacy
DBA Doing business as
Authorized official Murk, Steven
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2006
Last updated Aug 22nd, 2020 - about 6 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 1588600498 NPPES
Michigan MEDICAID 235486
Michigan Other 2363505

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