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Contact Information

BELFY DRUG STORE INC
387 N MAIN ST
WATERVLIET, MI49098-9795
 Phone: 269-463-3164
 Fax: 269-639-2524
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for BELFY DRUG STORE INC

NPI Number 1821045964
LBN Legal business name BELFY DRUG STORE INC
Authorized official KELLY SOEKARMOEN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/27/2006
Last updated 06/23/2009 - About 17 years ago
Identifiers
MI License # 5301007951
MI Medicaid 1964404
MI Medicaid 871970152
Other 2320769 NCPDP PROVIDER IDENTIFICATION 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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