Organization
LONG TERM PHARMACEUTICAL SOLUTIONS INC
Active
Other names
LIFECARE PHARMACY II LTC
Organization subpart
No
Provider details
NPI number
Authorized official
WANSA MAKKI (OWNER)
(313) 231-1141
Entity
Organization
Contact information
Practice address
910 E LINCOLN AVE STE C, IONIA, MI 48846-1393
(616) 200-8300
(616) 200-8383
Mailing address
910 E LINCOLN AVE, STE C, IONIA, MI 48846-1393
(616) 200-8300
(616) 200-8383
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301009948
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114271855
—
MI
01
—
2377340
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/02/2012
Last updated
03/04/2013
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