Organization
DECATUR PHARMACY
Active
Organization
DECATUR PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY KRUEGER RPH (PRESIDENT)
(269) 423-2821
Entity
Organization
Contact information
Practice address
100 W SHERWOOD ST, DECATUR, MI 49045-1120
(269) 423-2821
(269) 423-7443
Mailing address
100 W SHERWOOD ST, DECATUR, MI 49045-1120
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
333600000X
Pharmacy
5301007414
MI
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2313524
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
2313524
—
MI
Enumeration date
08/10/2006
Last updated
09/11/2025
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