Waterford Pharmacy

LBN: Waterford Pharmacy
Waterford Pharmacy is an health care organization with primary practice located at 5812 Highland , Waterford MI 48328. 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. Waterford Pharmacy can be contacted via phone (313) 891-2253, or through Salem, Sammy via phone (313) 999-9499.

Contact Information

Primary practice address
5812 Highland Waterford MI 48328
Phone: (313) 891-2253
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Salem, Sammy
Phone: (313) 999-9499

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 5301009006 Michigan

Profile Details

NPI number 1902051345
LBN Legal business name Waterford Pharmacy
DBA Doing business as Waterford Pharmacy
Authorized official Salem, Sammy
Entity Organization
Organization subpart 1 No
Enumeration date Nov 26th, 2008
Last updated Nov 26th, 2008 - about 18 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 1902051345 NPPES
Other 2371944 NCPDP PROVIDER IDENTIFICATION NUMBER

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