Organization
MACLEAN PHARMACY, INC.
Active
Other names
MAC LEAN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES ATKINSON (RESIDENT PHARMACIST/PRESIDENT)
(989) 539-7828
Entity
Organization
Contact information
Practice address
155 N 2ND ST, HARRISON, MI 48625-2501
(989) 539-7828
(989) 539-7807
Mailing address
PO BOX 160, HARRISON, MI 48625-0160
(989) 539-7828
(989) 539-7807
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301000139
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2308294
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
2511261
—
MI
Enumeration date
06/11/2006
Last updated
03/21/2012
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