Healthcare Provider Details

I. General information

NPI: 1235200254
Provider Name (Legal Business Name): L&L FOODCENTERS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2006
Last Update Date: 02/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5016 S MARTIN LUTHER KING JR BLVD
LANSING MI
48910-6126
US

IV. Provider business mailing address

5016 S MARTIN LUTHER KING JR BLVD
LANSING MI
48910-6126
US

V. Phone/Fax

Practice location:
  • Phone: 517-882-6750
  • Fax: 517-882-8834
Mailing address:
  • Phone: 517-882-6750
  • Fax: 517-882-8834

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number5301005132
License Number StateMI

VIII. Authorized Official

Name: CALVIN HELMICK
Title or Position: DIR OF PHRMCY
Credential: RPH
Phone: 517-887-1877