Organization
HURON STREET PHARMACY
Active
Other names
ADVANCED PHARMACY AND NUTRITION CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
PEGGY CLARK RPH (PHARMACY MANAGER)
(810) 688-3090
Entity
Organization
Contact information
Practice address
3960 HURON ST, NORTH BRANCH, MI 48461-6122
(810) 668-3090
(810) 688-3791
Mailing address
PO BOX 319, NORTH BRANCH, MI 48461-0319
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
L977292
MI
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2304880
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
3521208
—
MI
Enumeration date
10/20/2006
Last updated
09/11/2025
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