Provider Demographics
NPI:1053482075
Name:LEVANDOWSKI, LLC
Entity Type:Organization
Organization Name:LEVANDOWSKI, LLC
Other - Org Name:ATLAS DRUGS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIR OF PHRMCY
Authorized Official - Prefix:
Authorized Official - First Name:CALVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HELMICK
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:577-887-1877
Mailing Address - Street 1:1619 W GRAND RIVER AVE
Mailing Address - Street 2:
Mailing Address - City:OKEMOS
Mailing Address - State:MI
Mailing Address - Zip Code:48864-1801
Mailing Address - Country:US
Mailing Address - Phone:517-347-1458
Mailing Address - Fax:517-347-2449
Practice Address - Street 1:1619 W GRAND RIVER AVE
Practice Address - Street 2:
Practice Address - City:OKEMOS
Practice Address - State:MI
Practice Address - Zip Code:48864-1801
Practice Address - Country:US
Practice Address - Phone:517-347-1458
Practice Address - Fax:517-347-2449
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-13
Last Update Date:2008-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 3336C0003X
MI5301006733333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2357906OtherOTHER ID NUMBER-COMMERCIAL NUMBER
2357906OtherOTHER ID NUMBER-COMMERCIAL NUMBER