Organization
WESTERN MICHIGAN APOTHECARIES, INC
Active
Other names
THE APOTHECARY SHOPPE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDALL C WITHERSPOON RPH (PHARMACIST-OWNER)
(231) 723-3545
Entity
Organization
Contact information
Practice address
328 1ST ST, MANISTEE, MI 49660-1702
(231) 723-3545
(231) 723-9928
Mailing address
328 1ST ST, MANISTEE, MI 49660-1702
(231) 723-3545
(231) 723-9928
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
5301004951
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1940197 (2344276)
—
MI
01
—
2344276
NABP
—
Enumeration date
10/14/2005
Last updated
08/22/2020
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