Organization
INDISPENSABLE HEALTH
Active
Organization
INDISPENSABLE HEALTH
Active
Other names
Grass Lake Community Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TODD R. RAEHTZ (OWNER)
(866) 964-2638
Entity
Organization
Contact information
Practice address
110 E MICHIGAN AVE, GRASS LAKE, MI 49240-9680
(517) 522-4100
(517) 522-2000
Mailing address
110 E MICHIGAN AVE, P.O. BOX 842, GRASS LAKE, MI 49240-9680
(517) 522-4100
(866) 661-3853
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301009416
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0040372730
—
MI
01
—
2125431
PK
—
Enumeration date
09/10/2010
Last updated
02/10/2024
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