Provider Demographics
NPI:1932236221
Name:NUNYA BUSINESS SYSTEMS INC
Entity Type:Organization
Organization Name:NUNYA BUSINESS SYSTEMS INC
Other - Org Name:BEDFORD WELLNESS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:PRATHER
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:734-856-9123
Mailing Address - Street 1:7473 SECOR RD
Mailing Address - Street 2:UNIT C
Mailing Address - City:LAMBERTVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48144-8686
Mailing Address - Country:US
Mailing Address - Phone:734-856-9123
Mailing Address - Fax:734-854-1907
Practice Address - Street 1:7473 SECOR RD
Practice Address - Street 2:UNIT C
Practice Address - City:LAMBERTVILLE
Practice Address - State:MI
Practice Address - Zip Code:48144-8686
Practice Address - Country:US
Practice Address - Phone:734-856-9123
Practice Address - Fax:734-854-1907
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI332B00000X
MI53010073933336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI2356788Medicaid
MI2356788OtherNCPDP #
MI2356788OtherNCPDP #
MI2356788OtherNCPDP #
MIOP50550Medicare PIN