Provider Demographics
NPI:1316276678
Name:COMMET WELCOME PHARMACIES INC
Entity type:Organization
Organization Name:COMMET WELCOME PHARMACIES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:COMMET
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-937-9821
Mailing Address - Street 1:4646 PAGE AVE
Mailing Address - Street 2:
Mailing Address - City:MICHIGAN CENTER
Mailing Address - State:MI
Mailing Address - Zip Code:49254-1042
Mailing Address - Country:US
Mailing Address - Phone:517-764-0400
Mailing Address - Fax:517-764-5023
Practice Address - Street 1:119 E MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:GRASS LAKE
Practice Address - State:MI
Practice Address - Zip Code:49240-9680
Practice Address - Country:US
Practice Address - Phone:517-522-8006
Practice Address - Fax:517-522-8695
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-16
Last Update Date:2010-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3336C0003X, 332B00000X
MI5301009268333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
2373520OtherNCPDP PROVIDER IDENTIFICATION NUMBER