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Contact Information

ISIDRO II INC
7288 N SHELDON RD STE A
CANTON, MI48187-2150
 Phone: 734-812-9129
 Fax: 734-629-1717
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
 

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Health Service

261QH0100X
 

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

1835P0018X
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for ISIDRO II INC

NPI Number 1265099600
LBN Legal business name ISIDRO II INC
Authorized official MARIA YOUNG - (PRESIDENT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 05/21/2019
Last updated 06/01/2022 - About 4 years ago
Identifiers
MI Medicaid 1295918274
Other 1477673325 RPH PHARM D PROVIDER
MI Other 0P60030 MASS IMMUNIZATION
MI Other 0P57520 PHARMACY
MI Other 1740306778 RPH PROVIDER
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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