Organization
ALCONA CITIZENS FOR HEALTH INC
Active
Other names
ALCONA HEALTH CENTER PHARMACY SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE BAUMGARDNER (CEO)
(989) 736-8157
Entity
Organization
Contact information
Practice address
1185 US HIGHWAY 23 N, ALPENA, MI 49707-8004
(989) 358-3950
(989) 358-3720
Mailing address
PO BOX 655, ALPENA, MI 49707
(989) 358-3950
(989) 358-3720
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301007867
MI
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2046682
PK
—
Enumeration date
09/30/2006
Last updated
08/25/2017
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