Organization
FREEDOM APOTHECARY INC
Active
Other names
Medicine Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARTHA L TJOLSEN RPH (OWNER/PHARMACIST)
(734) 429-0509
Entity
Organization
Contact information
Practice address
75 E BENNETT ST, SALINE, MI 48176-1204
(734) 429-0509
Mailing address
PO BOX 663, 75 E BENNETT, SALINE, MI 48176-0663
(734) 429-0509
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301007376
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1773930
—
MI
01
—
2341054
NCPDP NUMBER
MI
Enumeration date
10/12/2006
Last updated
03/07/2023
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