BLUE CARE NETWORK OF MICHIGAN PHARMACY II; NPI #1225122724

Contact Information

BLUE CARE NETWORK OF MICHIGAN PHARMACY II

1401 S. CREYTS RD.
LANSING, MI 48917

Phone: 517-322-8200
Fax: 517-322-8242
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Clinic Pharmacy	3336C0002X	58	Medical Supply Company with Pharmacist

Indicates primary specialty

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NPI Profile & details for BLUE CARE NETWORK OF MICHIGAN PHARMACY II

NPI Number 1225122724

LBN Legal business name BLUE CARE NETWORK OF MICHIGAN PHARMACY II

Authorized official MICHELLE STURGEON - (PHARMACY MANAGER)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/02/2006

Last updated 08/22/2020 - About 6 years ago

Identifiers

MI	License #	5301003891
MI	Medicaid	2335885

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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