Organization
ANCHOR BAY PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS BLOOM HALSTEAD R.PH. (PRESIDENT)
(586) 725-3737
Entity
Organization
Contact information
Practice address
51006 WASHINGTON ST, NEW BALTIMORE, MI 48047-2157
(586) 725-3737
(586) 725-5610
Mailing address
51006 WASHINGTON ST, NEW BALTIMORE, MI 48047-2157
(586) 725-3737
(586) 725-5610
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
5301004295
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1687959
—
MI
01
—
5301004295
STATE ID
MI
Enumeration date
10/28/2005
Last updated
08/22/2020
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