# DRUG STORE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Drug Store Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023654902
- **Authorized official:** MR. WESLEY L NUNNELEY (PRESIDENT)
- **Authorized official phone:** (989) 354-2171

## Contact information

- **Practice address:** 2236 US HIGHWAY 23 S, ALPENA, MI 49707-4544
- **Practice address phone:** (989) 354-2171
- **Practice address fax:** (989) 356-6606
- **Mailing address:** 2236 US HIGHWAY 23 S, ALPENA, MI 49707-4544
- **Mailing address phone:** (989) 354-2171
- **Mailing address fax:** (989) 356-6606

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0002X | Clinic Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 11/26/2019
- **Last updated:** 04/25/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2668484 | — | MI |