Organization
LANSING SPECIALTY PHARMACY LLC
Active
Other names
CSA PHARMACY, Lansing Specialty Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ALI H EL KHATIB (OWNER)
(313) 414-0249
Entity
Organization
Contact information
Practice address
1174 FORT ST, LINCOLN PARK, MI 48146-1895
(586) 774-7294
(586) 774-7298
Mailing address
1174 FORT ST, LINCOLN PARK, MI 48146-1895
(586) 774-7294
(586) 774-7298
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
5301010799
MI
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2381503
NCPDP
MI
05
—
2381503
—
MI
Enumeration date
01/28/2016
Last updated
12/07/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us