Organization
PITKIN REXALL DRUG COMPANY
Active
Organization
PITKIN REXALL DRUG COMPANY
Active
Other names
Pitkin Drug & Gift Shoppe/SavMor 79
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY L UGANSKI RPH (OWNER/PHARMACIST)
(231) 893-5495
Entity
Organization
Contact information
Practice address
101 W COLBY ST, WHITEHALL, MI 49461-1014
(231) 893-5495
(231) 893-2723
Mailing address
101 W COLBY ST, WHITEHALL, MI 49461-1014
(231) 893-5495
(231) 893-2723
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301000792
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0951940001
MEDICARE PROVIDER #
MI
05
—
2310237
—
MI
Enumeration date
02/07/2008
Last updated
02/07/2008
Update your record
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