Organization
BENGRY PHARMACY PC
Active
Other names
Holihans Drug Store
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN BENGRY (PRESIDENT)
(231) 734-2551
Entity
Organization
Contact information
Practice address
128 N MAIN ST, EVART, MI 49631-9416
(231) 734-2551
(231) 734-5890
Mailing address
PO BOX 515, EVART, MI 49631-0515
(231) 734-2551
(231) 734-5890
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301004005
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1592882
—
MI
05
—
1967001
—
MI
01
—
2118394
PK
—
Enumeration date
07/08/2008
Last updated
12/01/2016
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