Organization
THE APOTHECARY SHOPPE PHARMACIES, LLC
Active
Other names
The Apothecary Shoppe,Downtown
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL P GARDNER CEO (CHIEF EXECUTIVE OFFICER)
(800) 313-3677
Entity
Organization
Contact information
Practice address
244 E MAIN ST, MIDLAND, MI 48640-5114
(989) 835-3636
(989) 832-6160
Mailing address
PO BOX 1727, MIDLAND, MI 48641-1727
(800) 313-3677
(866) 582-3636
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301007440
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2363050
NCPDP
MI
05
—
502363050
—
MI
01
—
540E610610
BSBC DME
MI
05
—
874717710
—
MI
Enumeration date
10/16/2006
Last updated
10/16/2012
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