Organization
CENTRAL PHARMACY MT HOPE LLC
Active
Other names
Central Pharmacy - Mt. Hope
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SALQUIST RPH (CO-OWNER/PIC)
(517) 404-5178
Entity
Organization
Contact information
Practice address
1001 E MOUNT HOPE AVE, LANSING, MI 48910-1822
(517) 316-0711
(517) 316-0714
Mailing address
1001 E MOUNT HOPE AVE, LANSING, MI 48910-1822
(517) 316-0711
(517) 316-0714
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301010169
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2141865
PK
—
05
—
2378291
—
MI
Enumeration date
08/28/2013
Last updated
07/07/2016
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