Organization
THE PRESCRIPTION SHOP OF GLEN ARBOR, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES BOCK RPH (PRESIDENT)
(231) 943-0600
Entity
Organization
Contact information
Practice address
6404 WESTERN AVE, GLEN ARBOR, MI 49636-5101
(231) 334-6608
(231) 334-6610
Mailing address
6404 WESTERN AVE, GLEN ARBOR, MI 49636-5101
(231) 334-6608
(231) 334-6610
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
5301006252
MI
Other
Enumeration date
07/16/2013
Last updated
07/16/2013
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