Organization
LTC LEONARD LLC
Active
Parent organization
PRESCRIPTION SUPPLY INC
Other names
LTC Welcome South
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRESCRIPTION SUPPLY INC
Authorized official
CHRISTOPHER M SCHOEN (VICE PRESIDENT)
(419) 654-1973
Entity
Organization
Contact information
Practice address
303 W PROSPECT ST, JACKSON, MI 49203-4113
(517) 787-2132
(517) 787-0316
Mailing address
2233 TRACY RD STE B, NORTHWOOD, OH 43619-1302
(517) 787-2132
(517) 787-0316
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
5301001041
MI
3336C0003X
Community/Retail Pharmacy
Primary
5301001041
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2306101
NABP/NCPDP
MI
05
—
4821871
—
MI
Enumeration date
08/05/2006
Last updated
04/22/2020
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