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Organization

OTISVILLE PHARMACY LLC

Active
Other names
Otisville Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
KIRANBEN M PATEL (OWNER)
(810) 348-8358
Entity
Organization

Contact information

Practice address
410 N STATE RD, OTISVILLE, MI 48463-9443
(810) 374-6080
Mailing address
410 N STATE RD, OTISVILLE, MI 48463-9443
(810) 671-5810
(810) 671-5845

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary

Other

Enumeration date
11/01/2024
Last updated
12/21/2024
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