Organization
ALMA FAMILY PHARMACY, LLC
Active
Other names
Alma Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND RUTKOWSKI (OWNER/R.PH.)
(989) 388-6553
Entity
Organization
Contact information
Practice address
1686 WRIGHT AVE STE C, ALMA, MI 48801-1090
(989) 968-4003
(989) 968-4005
Mailing address
1686 WRIGHT AVE, SUITE C, ALMA, MI 48801-1090
(989) 968-4003
(989) 968-4005
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301010805
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2157802
PK
—
01
—
7562190001
PROVIDER TRANSACTION ACCESS NUMBER (PTAN)
—
Enumeration date
10/30/2015
Last updated
11/21/2016
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