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Organization
PATTIE DRUG OF BALDWIN INC
Active
Organization
PATTIE DRUG OF BALDWIN INC
Active
Other names
Pattie Drug
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TENNIS PATTIE TRUCKS RPH (PHARMACIST VICE PRESIDENT)
(231) 745-4697
Entity
Organization
Contact information
Practice address
868 MICHIGAN AVE, BALDWIN, MI 49304-0310
(231) 745-4697
(231) 745-8640
Mailing address
PO BOX 310, BALDWIN, MI 49304
(231) 745-4697
(231) 745-8640
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5301004991
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23444Z8
NABP
MI
05
—
23444Z8
—
MI
Enumeration date
08/30/2006
Last updated
09/04/2009
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