Organization
HARVEST PHARMACY INC
Active
Other names
HARVEST PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS REPPENHAGEN (OWNER)
(989) 862-4858
Entity
Organization
Contact information
Practice address
9900 EAST M-21, SUITE 103, OVID, MI 48866
(989) 862-4858
(989) 862-5355
Mailing address
9900 EAST M-21, SUITE 103, OVID, MI 48866
(989) 862-4858
(989) 862-5355
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301007366
MI
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2040489
PK
—
05
—
BH7290428
—
MI
Enumeration date
10/12/2006
Last updated
06/16/2016
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