Organization
LIZNWES LLC
Active
Other names
Medicap Pharmacy Petoskey
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH A OSTRANDER RPH, MBA (PHARMACIST/OWNER)
(231) 487-0262
Entity
Organization
Contact information
Practice address
2240 E. MITCHELL, STE A, PETOSKEY, MI 49770
(231) 487-0262
(231) 487-0133
Mailing address
2240 E. MITCHELL, STE A, PETOSKEY, MI 49770
(231) 487-0262
(231) 487-0133
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
5301008102
MI
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2366789
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
4931630
—
MI
Enumeration date
08/20/2006
Last updated
03/22/2010
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