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Contact Information

PATIENT CARE PHARMACY LLC
15301 TIREMAN AVE
DEARBORN, MI48126-1045
 Phone: 313-584-2400
 Fax: 313-584-2404
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
 

Compounding Pharmacy

3336C0004X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for PATIENT CARE PHARMACY LLC

NPI # 1093044877
LBN Legal business name PATIENT CARE PHARMACY LLC
Authorized official AHMAD ABBAS - (OWNER / PIC)
Entity Organization
Organization subpart 1 No
Enumeration date 12/08/2009
Last updated 06/28/2016 - About 10 years ago
Identifiers
MI License # 5301009285
Other 2123109 PK
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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