<Unavail>

LBN: Universal Grace Pharmacy Llc
<Unavail> is an health care organization with primary practice located at 31500 Dequindre Rd Ste 300 , Warren MI 48092-1057. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Universal Grace Pharmacy Llc can be contacted via phone (586) 999-5951, or through Cholag, Nofal via phone (586) 999-5951.

Contact Information

Primary practice address
31500 Dequindre Rd Ste 300 Warren MI 48092-1057
Phone: (586) 999-5951
Fax: (586) 999-5956
Website:
Map and Directions
Authorized official contact:
Name: Cholag, Nofal
Phone: (586) 999-5951

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 5301010751 Michigan
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1417328436
LBN Legal business name Universal Grace Pharmacy Llc
DBA Doing business as <Unavail>
Authorized official Cholag, Nofal
Entity Organization
Organization subpart 1 No
Enumeration date Oct 16th, 2015
Last updated Jan 12th, 2016 - about 10 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 1417328436 NPPES
Other 2154721 PK

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