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PINE KNOB PHARMACY #2 NPI 1548438724


NPI Information

NPI: 1548438724
Provider Name: PINE KNOB PHARMACY #2
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
5625 WATER TOWER PL
SUITE 101
CLARKSTON, MI
ZIP 48346
Phone: (248) 625-1215
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PINE KNOB PHARMACY #2 is a durable medical equipment medical supplies in Clarkston, MI. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. PINE KNOB PHARMACY #2 NPI is 1548438724. The provider is registered as an organization entity type.

The provider's business location address is:

5625 WATER TOWER PL
SUITE 101
CLARKSTON, MI
ZIP 48346-671
Phone: (248) 625-1215

The provider's authorized official is Anthony Jay Plas .
The authorized official title is Manager and has the following contact phone number (248) 625-1215.

The enumeration date for this NPI number is 2/11/2008 and was last updated on 2/11/2008.


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 SuppliesYes

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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