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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

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Non-Pharmacy Dispensing Site

332900000X 87 All Other Suppliers
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for ISIDRO II INC

NPI Number 1295918274
LBN Legal business name ISIDRO II INC
Authorized official MARIA YOUNG - (OWNER, PRES, PIC)
Entity Organization
Organization subpart 1 No
Enumeration date 12/12/2007
Last updated 04/30/2025 - More than a year ago
Identifiers
MI License # 5301008406
MI Medicaid 1295918274
MI Medicaid 1982884318
Other 2043557 PK
MI Other 0P60030 MASS IMMUNIZATION
MI Other 0P57520 PTAN
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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