Organization
SAWDEY LLC
Active
Other names
HOPPS COLONIAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
GREGG RUSSELL (PHARMACIST MEMBER LLC)
(517) 568-3400
Entity
Organization
Contact information
Practice address
126 W MAIN ST, HOMER, MI 49245
(517) 568-3400
(517) 568-5608
Mailing address
126 W MAIN ST, HOMER, MI 49245-1046
(517) 568-3400
(517) 568-5608
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301006904
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2040907
PK
—
05
—
2317279
—
MI
Enumeration date
08/31/2006
Last updated
06/21/2018
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