Organization
BERRY DRUGS INC
Active
Other names
FIFE LAKE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RUTH BERRY RPH (PRESIDENT AND OWNER)
(231) 879-4243
Entity
Organization
Contact information
Practice address
108 STATE ST, FIFE LAKE, MI 49633
(231) 879-4243
(231) 879-4943
Mailing address
PO BOX 98, FIFE LAKE, MI 49633-0098
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
5301006831
MI
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2339821
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
2339821
—
MI
Enumeration date
06/09/2006
Last updated
02/14/2008
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