Organization
HARBOR TOWN PHARMACY INC
Active
Other names
HARBOR TOWN PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES BROGAN (OWNER/PRESIDENT)
(906) 884-2555
Entity
Organization
Contact information
Practice address
850 GREENLAND RD, ONTONAGON, MI 49953-1452
(906) 884-4229
(906) 884-6516
Mailing address
850 GREENLAND RD, ONTONAGON, MI 49953-1452
(906) 884-4229
(906) 884-6516
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301005239
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2042856
PK
—
05
—
2646404
—
MI
Enumeration date
08/20/2006
Last updated
01/17/2017
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