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MI PHARM LLC NPI 1649463712


NPI Information

NPI: 1649463712
Provider Name: MI PHARM LLC
Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

CLIA Number: 23D2193335

Address:
32320 5 MILE RD
LIVONIA, MI
ZIP 48154
Phone: (734) 744-4070
Get Directions

MI PHARM LLC is a long term care pharmacy pharmacy in Livonia, MI. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. MI PHARM LLC NPI is 1649463712. The provider is registered as an organization entity type.

The provider's business location address is:

32320 5 MILE RD
LIVONIA, MI
ZIP 48154-109
Phone: (734) 744-4070
Fax: (866) 798-4070

The provider's authorized official is Andrew J Mac .
The authorized official title is Pharmacist In Charge and has the following contact phone number (734) 744-4070.

The CLIA number assigned to this NPI record is 23D2193335 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/22/2007 and was last updated on 2/9/2023.


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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2333600000XPharmacyNo
33336L0003XPharmacyLong Term Care PharmacyNo
43336L0003XPharmacyLong Term Care Pharmacy5301008682MICHIGANYes

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
15301012858OTHERMICHIGANMICHIGAN BOARD OF PHARMACY LICENSE
25315231232OTHERMICHIGANMICHIGAN BOARD OF PHARMACY CONTROLLED SUBSTANCE LICENSE
32042755OTHERPK

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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