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Organization
LAKELAND PHARMACY BERRIEN
Active
Organization
LAKELAND PHARMACY BERRIEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEIL R JOHNSON R.PH. (MANAGER)
(269) 473-3082
Entity
Organization
Contact information
Practice address
6418 DEANS HILL RD, BERRIEN CENTER, MI 49102-9750
(269) 473-3082
Mailing address
6418 DEANS HILL RD, BERRIEN CENTER, MI 49102-9750
(269) 473-3082
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
5301006978
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2367779
NCPDP
—
Enumeration date
12/14/2006
Last updated
08/22/2020
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