Organization
SUSANS TOTAL CARE DRUG STORE LLC
Active
Organization
SUSANS TOTAL CARE DRUG STORE LLC
Active
Other names
SUSAN'S TOTAL CARE DRUG STORE
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN MEISNER (RPH/OWNER)
(734) 379-7000
Entity
Organization
Contact information
Practice address
22432 HURON RIVER DR, ROCKWOOD, MI 48173-1100
(734) 379-7000
(734) 379-7037
Mailing address
22432 HURON RIVER DR, ROCKWOOD, MI 48173-1100
(734) 379-7000
(734) 379-7037
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301009454
MI
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093016438
—
MI
01
—
2374673
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/16/2010
Last updated
10/18/2011
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