Organization
RED CROWN II INC
Active
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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