Organization
LAKELAND IMMEDIATE CARE CENTER
Active
Parent organization
LAKELAND IMMEDIATE CARE CENTER
Other names
Cassopolis Family Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAKELAND IMMEDIATE CARE CENTER
Authorized official
TAMMY MARIE HOWARD (COO)
(269) 445-3874
Entity
Organization
Contact information
Practice address
261 M 62, CASSOPOLIS, MI 49031-1034
(269) 228-8505
(269) 445-1911
Mailing address
261 M 62, CASSOPOLIS, MI 49031-1034
(269) 228-8505
(269) 445-1911
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301010597
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114328614
—
MI
01
—
2147873
PK
—
Enumeration date
09/16/2014
Last updated
09/04/2025
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