Organization
NUGENT PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL NUGENT RPH (OWNER)
(989) 856-3811
Entity
Organization
Contact information
Practice address
6568 MAIN ST, CASEVILLE, MI 48725
(989) 856-2900
(989) 856-2051
Mailing address
PO BOX 1405, CASEVILLE, MI 48725-1405
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
5301004412
MI
333600000X
Pharmacy
Primary
5301004412
MI
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1265462238
OTHER COMMERCIAL IDENTIFIERS
MI
05
—
1265462238
—
MI
01
—
2340797
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
2340797
—
MI
01
—
540C210640
BCBS
MI
Enumeration date
07/04/2006
Last updated
10/29/2008
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