Organization
CENTRAL PHARMACY-CHESANING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID M LARNER (MEMBER)
(517) 410-8581
Entity
Organization
Contact information
Practice address
126 W. BROAD ST, CHESANING, MI 48616
(989) 845-3609
(989) 845-3121
Mailing address
126 W. BROAD ST, CHESANING, MI 48616
(989) 845-3609
(989) 845-3121
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
5301000323
MI
3336C0003X
Community/Retail Pharmacy
5301010746
MI
3336C0003X
Community/Retail Pharmacy
FC5608445
—
3336C0003X
Community/Retail Pharmacy
—
MI
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2516651
—
MI
Enumeration date
09/28/2006
Last updated
12/28/2023
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