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Contact Information

SPRINGWELLS CLINICAL PHARMACY INC.
2117 SPRINGWELLS ST
DETROIT, MI48209-1507
 Phone: 313-841-8000
 Fax: 313-841-0505
 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
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for SPRINGWELLS CLINICAL PHARMACY INC.

NPI # 1427167196
LBN Legal business name SPRINGWELLS CLINICAL PHARMACY INC.
Authorized official ADEL DAKHLALLAH - (PHARMACIST)
Entity Organization
Organization subpart 1 No
Enumeration date 08/29/2006
Last updated 12/03/2015 - About 11 years ago
Identifiers
MI License # 5301007023
MI Medicaid 4110403
Other 2044486 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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