Organization
MIKES FAMILY PHARMACY INC
Active
Organization
MIKES FAMILY PHARMACY INC
Active
Other names
MIKES FAMILY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL COOK (OWNER)
(231) 740-6025
Entity
Organization
Contact information
Practice address
8718 WATER ST STE A, MONTAGUE, MI 49437-1204
(231) 894-8633
(231) 893-3530
Mailing address
8718 WATER ST, SUITE A, MONTAGUE, MI 49437-1204
(231) 894-8633
(231) 893-3530
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301009749
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467740688
—
MI
01
—
2375752
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/21/2011
Last updated
10/25/2012
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