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Contact Information

WALNUT ASSOCIATES I LLC
3390 WEST ROAD
TRENTON, MI48183
 Phone: 734-676-6622
 Fax: 734-676-5725
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for WALNUT ASSOCIATES I LLC

NPI Number 1003924465
LBN Legal business name WALNUT ASSOCIATES I LLC
Authorized official WILLIAM NEWMAN - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 08/27/2006
Last updated 05/18/2018 - About 8 years ago
Identifiers
MI License # 5301006407
MI Medicaid 2308054
Other 2308054 OTHER ID NUMBER
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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