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Organization
TOWN TOTAL HEALTH LLC
Active
Organization
TOWN TOTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON BEAUCH (VICE PRESIDENT, PHARMACY)
(616) 791-3346
Entity
Organization
Contact information
Practice address
728 MADISON AVE STE B1, ALBANY, NY 12208-3302
(518) 257-7294
(518) 257-7299
Mailing address
2929 WALKER AVE NW, GRAND RAPIDS, MI 49544-6402
(616) 791-3346
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
031853
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03563155
—
NY
01
—
2140161
PK
—
Enumeration date
01/18/2013
Last updated
09/24/2020
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