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Organization
RITE AID
Active
Organization
RITE AID
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER PILLSBURY PHARMD (STAFF PHARMACIST)
(727) 608-0471
Entity
Organization
Contact information
Practice address
211 W LAKE ST, TAWAS CITY, MI 48763-9274
(727) 362-3439
Mailing address
211 W LAKE ST, TAWAS CITY, MI 48763-9274
(727) 362-3439
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302043667
MI
Other
Enumeration date
09/03/2015
Last updated
09/03/2015
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