Organization
MILLINGTON PHARMACY LLC
Active
Organization
MILLINGTON PHARMACY LLC
Active
Other names
Millington Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS EDWARD DUESBOUT II (PHARMACY OWNER)
(989) 871-2820
Entity
Organization
Contact information
Practice address
4729 MAIN ST, MILLINGTON, MI 48746-9076
(989) 871-2820
(989) 871-2823
Mailing address
PO BOX 440, MILLINGTON, MI 48746
(989) 871-2820
(989) 871-2823
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2850831
—
MI
01
—
7365250001
PTAN
MI
Enumeration date
05/07/2014
Last updated
12/03/2024
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