Organization
WHITE PIGEON PHARMACY LLC
Active
Other names
White Pigeon Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BIMAL C PATEL (PRESIDENT / OWNER)
(269) 464-2384
Entity
Organization
Contact information
Practice address
410 E CHICAGO RD, WHITE PIGEON, MI 49099-8794
(269) 282-6779
(269) 620-6109
Mailing address
410 E CHICAGO RD, WHITE PIGEON, MI 49099-8794
(269) 464-2384
(269) 620-6109
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
5301011418
MI
3336C0003X
Community/Retail Pharmacy
Primary
5301011418
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326534850
—
MI
05
—
300023441
—
IN
Enumeration date
07/09/2018
Last updated
06/05/2019
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