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Organization

GLADSTONE PHARMACY INC.

Active
Other names
GLADSTONE PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
WALTER EMLING (OWNER)
(906) 428-4240
Entity
Organization

Contact information

Practice address
20 S 10TH ST, GLADSTONE, MI 49837-1526
(906) 428-4240
(906) 428-9416
Mailing address
20 S 10TH ST, GLADSTONE, MI 49837-1526

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
5301006295
MI
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2354784
OTHER ID NUMBER-COMMERCIAL NUMBER
05
3170630
MI
Enumeration date
08/31/2006
Last updated
09/11/2025
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