Organization
LISA K URBANC PC
Active
Other names
NORTHERN MENOMINEE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LISA URBANC RPH (OWNER)
(906) 497-5516
Entity
Organization
Contact information
Practice address
N 16088 US 2- 41, SPALDING, MI 49886-0155
(906) 497-5516
(906) 497-4206
Mailing address
PO BOX 155, SPALDING, MI 49886-0155
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301005133
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2344757
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
2344757
—
MI
Enumeration date
11/02/2005
Last updated
11/02/2009
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