Organization
CHECORDRA LLC
Active
Other names
Tasker's Drug Store
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT KARASINSKI (MEMBER)
(616) 837-6394
Entity
Organization
Contact information
Practice address
281 MAIN ST, COOPERSVILLE, MI 49404-1232
(616) 837-6394
(616) 837-8078
Mailing address
281 MAIN ST, COOPERSVILLE, MI 49404-1232
(616) 837-6394
(616) 837-8078
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301009851
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2137239
PK
—
Enumeration date
07/04/2006
Last updated
09/04/2015
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