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Contact Information

PS OF MI, LLC
13042 FAIRLANE ST
LIVONIA, MI48150-1326
 Phone: 908-389-1818
 Fax: 508-281-1843
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
 

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
 

Compounding Pharmacy

3336C0004X 58 Medical Supply Company with Pharmacist
 

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for PS OF MI, LLC

NPI # 1427309343
LBN Legal business name PS OF MI, LLC
Authorized official CHANA HOFF - (VP OF FINANCIAL OPERATIONS)
Entity Organization
Organization subpart 1 No
Enumeration date 10/02/2012
Last updated 04/24/2025 - More than a year ago
Identifiers
MI License # 5301009920
Other 2137221 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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