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Contact Information

SDS PHARMACY INC
136 N MAIN STREET
CAPAC, MI48014
 Phone: 810-395-2336
 Fax: 810-395-9015
 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 SDS PHARMACY INC

NPI # 1346358710
LBN Legal business name SDS PHARMACY INC
Authorized official SCOT SHELDON - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/27/2006
Last updated 03/17/2016 - About 10 years ago
Identifiers
MI License # 5301006496
MI Medicaid 2356283
MI Medicaid 3293130
Other 2356283 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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