Organization
THE PRESCRIPTION SHOP OF HONOR, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES BOCK RPH (OWNER)
(231) 943-0600
Entity
Organization
Contact information
Practice address
10587 MAIN ST, HONOR, MI 49640-9761
(231) 325-2735
(231) 325-2737
Mailing address
404 W COMMERCE DR, SUITE A, TRAVERSE CITY, MI 49684-9854
(231) 943-0600
(231) 943-0698
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
5301005739
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2834692
—
MI
Enumeration date
05/11/2006
Last updated
06/29/2012
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