Organization
PARKS DRUG STORE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN C SHEDD RPH (PRESIDENT)
(517) 629-9481
Entity
Organization
Contact information
Practice address
318 S SUPERIOR ST, ALBION, MI 49224
(517) 629-9481
(517) 629-8904
Mailing address
318 S SUPERIOR ST, ALBION, MI 49224
(517) 629-9481
(517) 629-8904
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
5301001976
MI
183500000X
Pharmacist
5302020827
MI
332B00000X
Durable Medical Equipment & Medical Supplies
5302020827
MI
333600000X
Pharmacy
Primary
5301001976
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2513829
—
MI
01
—
540A30523
BCBSM
MI
Enumeration date
11/09/2005
Last updated
01/29/2013
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