Organization
OLIVET PHARMACY INC
Active
Organization
OLIVET PHARMACY INC
Active
Other names
OLIVET PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
GLENDA KING RPH (PRESIDENT AND OWNER)
(269) 749-2301
Entity
Organization
Contact information
Practice address
102 WASHINGTON ST, OLIVET, MI 49076-9462
(269) 749-2301
(269) 749-2301
Mailing address
PO BOX 537, OLIVET, MI 49076-0537
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301000875
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1737040
—
MI
01
—
2318978
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/11/2006
Last updated
09/27/2011
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