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Organization
NORTHWEST SYNERGY INC
Active
Organization
NORTHWEST SYNERGY INC
Active
Other names
COMMUNITY DRUG OF INTERLOCHEN
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD ANDREWS MACRAE RPH (CO OWNER)
(231) 352-4471
Entity
Organization
Contact information
Practice address
2100 OLD GRADE AVE., BOX 67, INTERLOCHEN, MI 49643
(231) 276-9014
Mailing address
2100 OLD GRADE AVE., BOX 67, INTERLOCHEN, MI 49643
(231) 276-9014
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5301006774
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2317382
NABP
—
05
—
2317382
—
MI
Enumeration date
01/18/2007
Last updated
03/07/2023
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