NUGENT PHARMACY INC; NPI #1265462238

Contact Information

NUGENT PHARMACY INC

6568 MAIN ST
CASEVILLE, MI 48725

Phone: 989-856-2900
Fax: 989-856-2051
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Pharmacy	333600000X	58	Medical Supply Company with Pharmacist
Community/Retail Pharmacy	3336C0003X	58	Medical Supply Company with Pharmacist
Compounding Pharmacy	3336C0004X	58	Medical Supply Company with Pharmacist
Durable Medical Equipment & Medical Supplies	332B00000X	54	Other Medical Supply Company

Indicates primary specialty

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NPI Profile & details for NUGENT PHARMACY INC

NPI # 1265462238

LBN Legal business name NUGENT PHARMACY INC

Authorized official PAUL NUGENT - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/04/2006

Last updated 10/29/2008 - About 18 years ago

Identifiers

MI	License #	5301004412
MI	Medicaid	1265462238
MI	Medicaid	2340797
	Other	2340797	OTHER ID NUMBER-COMMERCIAL NUMBER
MI	Other	540C210640	BCBS
MI	Other	1265462238	OTHER COMMERCIAL IDENTIFIERS

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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