Organization
WT CORP
Active
Organization
WT CORP
Active
Other names
Tom's Family Market
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN HOWELL (VP)
(989) 733-8229
Entity
Organization
Contact information
Practice address
20597 STATE ST, ONAWAY, MI 49765-8665
(989) 733-4106
(989) 733-8186
Mailing address
20597 STATE ST, P.O. BOX 119, ONAWAY, MI 49765-8665
(989) 733-8229
(989) 733-8587
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301009238
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2122669
PK
—
Enumeration date
11/17/2009
Last updated
07/19/2018
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