# MANTON FAMILY PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MANTON FAMILY PHARMACY INC
- **Other names:** Manton Family Pharmacy LTC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1558900720
- **Legal business name:** MANTON FAMILY PHARMACY INC
- **Authorized official:** MICHAEL JOSEPH MOFFIT (OWNER)
- **Authorized official phone:** (231) 824-6465

## Contact information

- **Practice address:** 117 W MAIN ST, MANTON, MI 49663-9026
- **Practice address phone:** (231) 920-8313
- **Mailing address:** PO BOX 368, MANTON, MI 49663-0368
- **Mailing address phone:** (231) 942-4022

## Taxonomy

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

## Other

- **Enumeration date:** 01/05/2020
- **Last updated:** 01/05/2020