Organization
LONG TERM PHARMACEUTICAL SOLUTIONS INC
Active
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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