Van Buren Pharmacy

LBN: Van Buren Pharmaceuticals Llc
Van Buren Pharmacy is an health care organization with primary practice located at 11650 Belleville Rd Ste 103 Suite 103, Belleville MI 48111-3382. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Van Buren Pharmaceuticals Llc can be contacted via phone (734) 325-6318, or through Ashebir, Gebre via phone (734) 325-6318.

Contact Information

Primary practice address
11650 Belleville Rd Ste 103 Suite 103 Belleville MI 48111-3382
Fax: (734) 325-6319
Website:
Authorized official contact:
Name: Ashebir, Gebre

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 5301010392 Michigan

Profile Details

NPI number 1316367816
LBN Legal business name Van Buren Pharmaceuticals Llc
DBA Doing business as Van Buren Pharmacy
Authorized official Ashebir, Gebre
Entity Organization
Organization subpart 1 No
Enumeration date Apr 23rd, 2014
Last updated Jul 19th, 2018 - about 8 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 1316367816 NPPES
Michigan MEDICAID 0006060728
Michigan Other 2145405

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