Organization
RED CROWN II INC
Active
Other names
RED CROWN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC GRAHAM RPH (OWNER)
(269) 655-6878
Entity
Organization
Contact information
Practice address
311 N GRAND ST, SCHOOLCRAFT, MI 49087-5110
(269) 324-9988
Mailing address
7368 OLDENBURG LN, PORTAGE, MI 49024-3036
(269) 655-6878
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301008668
MI
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2042753
PK
—
Enumeration date
08/16/2007
Last updated
11/27/2013
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