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Organization

HINKLEY DRUG STORE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PETER TOMSHACK RPH (PRESIDENT)
(231) 734-3811
Entity
Organization

Contact information

Practice address
107 N MAIN, EVART, MI 49631
(231) 734-3811
Mailing address
PO BOX 635, EVART, MI 49631-0635
(231) 734-3811

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
5302020377
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0F71003
BLUE CROSS OF MI
01
2315477
NABP
05
4818929
MI
Enumeration date
01/25/2008
Last updated
01/25/2008
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