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Organization
WHITE PINE APOTHECARY INC
Active
Organization
WHITE PINE APOTHECARY INC
Active
Other names
The Apothecary
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES EUGENE BLEZEK RPH (PRESIDENT PHARMACIST)
(906) 885-5301
Entity
Organization
Contact information
Practice address
101 MINERAL RIVER PLAZA, WHITE PINE, MI 49971-0816
(906) 885-5301
(906) 885-5302
Mailing address
PO BOX 816, 101 MINERAL RIVER PLAZA, WHITE PINE, MI 49971-0816
(906) 885-5301
(906) 885-5302
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5301002806
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2320834
—
MI
Enumeration date
12/04/2006
Last updated
08/22/2020
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