Organization
THE APOTHECARY SHOPPE PHARMACIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANET ROSE ALLEN DIRECTOR OF OPERATIO (DIRECTOR OF OPERATIONS)
(989) 837-3636
Entity
Organization
Contact information
Practice address
4011 ORCHARD DR, SUITE 1004, MIDLAND, MI 48670-0001
(989) 839-3636
(989) 839-1907
Mailing address
PO BOX 1727, MIDLAND, MI 48641-1727
(800) 313-3677
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301007134
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2324274
NCPDP
MI
05
—
504163908
—
MI
01
—
540E611080
BCBS DME
MI
05
—
874163917
—
MI
Enumeration date
10/16/2006
Last updated
01/21/2010
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