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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