Organization
EHARDT'S PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY LIER II (COO / CFO)
(810) 679-2284
Entity
Organization
Contact information
Practice address
57 N HOWARD AVE, CROSWELL, MI 48422-1222
(810) 679-3900
Mailing address
57 N HOWARD AVE, CROSWELL, MI 48422-1222
(810) 679-2284
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
5301004082
MI
332BX2000X
Oxygen Equipment & Supplies (DME)
5301004082
MI
3336C0003X
Community/Retail Pharmacy
Primary
5301004082
MI
Other
Enumeration date
07/13/2006
Last updated
08/30/2021
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