PHARMASOURCE LTC LLC
NPI 1043789431
Pharmacy - Long Term Care Pharmacy in Farmington, MI
About Pharmasource Ltc Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PHARMASOURCE LTC LLC (NPI 1043789431) is a healthcare organization registered as a long term care pharmacy in Farmington, Michigan and active in the NPI registry since November 2018. The organization lists Fadi Naserdean, Principal, as its authorized official.Information from the official NPPES registry record, last updated January 22, 2020.
NPPES Registry Identity
★ Primary Specialty
Pharmacy · Long Term Care Pharmacy
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities,… Show more
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 23D2188870
- Facility Type
- Pharmacy
- Certificate Effective Date
- July 23, 2024
- Certificate Expiration Date
- July 22, 2026
- Laboratory Director
- HANAN J. EL-SIBAI
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Pharmasource Ltc Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043789431, enumerated as an "organization" on November 15, 2018.
The provider is located at 31620 GRAND RIVER AVE FARMINGTON, MI 48336 and the phone number is (313) 680-3000.
Pharmacy with taxonomy code 3336L0003X and a focus in Long Term Care Pharmacy.
The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.
