Organization
HI-5 INC
Active
Other names
ADDISON PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KAROL HEIDBREDER (OWNER)
(517) 547-6686
Entity
Organization
Contact information
Practice address
100 W MAIN ST, ADDISON, MI 49220-9807
(517) 547-6686
(517) 547-3401
Mailing address
PO BOX 349, ADDISON, MI 49220-0349
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301007579
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2041735
PK
—
05
—
2324010
—
MI
Enumeration date
08/18/2006
Last updated
07/10/2014
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