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Contact Information

OLIVET PHARMACY LLC
116 N. MAIN STREET
SUITE 9403
OLIVET, MI49076
 Phone: 269-280-5005
 Fax: 269-280-5018
 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 OLIVET PHARMACY LLC

NPI Number 1992262869
LBN Legal business name OLIVET PHARMACY LLC
Authorized official LON HOGAN - (MANAGING MEMBER AND AUTHORIZED SIGN)
Entity Organization
Organization subpart 1 No
Enumeration date 02/26/2019
Last updated 08/01/2025 - About 10 months ago
Identifiers n/a
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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