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Organization

LTC LEONARD LLC

Active
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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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