Organization
DOWNRIVER COMMUNITY SERVICES INC
Active
Other names
DCS Pharmacy - Port Huron
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA ROUSH (CEO)
(586) 270-8055
Entity
Organization
Contact information
Practice address
1011 MILITARY ST, PORT HURON, MI 48060-5416
(586) 270-8055
(810) 488-8035
Mailing address
1011 MILITARY ST, PORT HURON, MI 48060-5416
(810) 488-8030
(810) 488-8035
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301009467
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2374914
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/28/2011
Last updated
03/11/2011
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