# EAGLE PHARMACY OF FARWELL PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Eagle Pharmacy LTC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326754557
- **Authorized official:** JOHN GROSS (OWNER)
- **Authorized official phone:** (989) 339-9008

## Contact information

- **Practice address:** 109 W MAIN ST, FARWELL, MI 48622-9553
- **Practice address phone:** (989) 588-2900
- **Practice address fax:** (989) 588-2901
- **Mailing address:** 11271 HARRISON AVE, FARWELL, MI 48622-9439
- **Mailing address phone:** (989) 339-9008
- **Mailing address fax:** (855) 855-4919

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 01/31/2023
- **Last updated:** 01/31/2023