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BORMANS INC NPI 1013932664


NPI Information

NPI: 1013932664
Provider Name: BORMANS INC

Doing Business As: FARMER JACK PHARMACY

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
3666 FORT ST
LINCOLN PARK, MI
ZIP 48146
Phone: (313) 381-0622
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BORMANS INC is a pharmacy in Lincoln Park, MI. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. BORMANS INC NPI is 1013932664. The provider is registered as an organization entity type.
The provider Is Doing Business As Farmer Jack Pharmacy.

The provider's business location address is:

3666 FORT ST
LINCOLN PARK, MI
ZIP 48146-117
Phone: (313) 381-0622
Fax: (313) 381-4312

The provider's authorized official is Susan Kijowski .
The authorized official title is Pharmacy Specialist and has the following contact phone number (201) 571-8326.

The enumeration date for this NPI number is 7/13/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacy5301004541MICHIGANYes
23336C0003XPharmacyCommunity/Retail PharmacyX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12798166MEDICAIDMICHIGAN
22322535OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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