Organization
PAULS PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES L BUSSIS RPH (PRESIDENT)
(616) 396-5233
Entity
Organization
Contact information
Practice address
803 LINCOLN AVE, HOLLAND, MI 49423
(616) 396-5233
(616) 396-4270
Mailing address
803 LINCOLN AVE, HOLLAND, MI 49423
(616) 396-5233
(616) 396-4270
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
5301000422
MI
3336C0003X
Community/Retail Pharmacy
Primary
5301000422
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2306935
NCPDP
—
05
—
2513945
—
MI
Enumeration date
08/04/2006
Last updated
12/08/2008
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