Organization
STRAITS AREA PHARAMCY INC
Active
Other names
Straits Area Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LEAH HEFFERNAN (PHARMACIST)
(906) 643-7298
Entity
Organization
Contact information
Practice address
1140 NORTH STATE STREET SUITE 1500, SAINT IGNACE, MI 49781
(906) 643-7298
(906) 643-0462
Mailing address
1140 NORTH STATE STREET SUITE 1500, SAINT IGNACE, MI 49781
(906) 643-7298
(906) 643-0462
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301011169
MI
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2169532
PK
—
Enumeration date
06/21/2017
Last updated
06/21/2017
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