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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