Organization
PHARMA CARE INC
Active
Other names
Cherry Street Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND MILES DORHOUT SR. RPH PRESIDENT (PHARMACISTS)
(810) 659-5608
Entity
Organization
Contact information
Practice address
209 S CHERRY ST, FLUSHING, MI 48433
(810) 659-5608
(810) 659-6789
Mailing address
PO BOX 480, FLUSHING, MI 48433
(810) 659-5608
(810) 659-6789
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
23D1009655
MI
333600000X
Pharmacy
Primary
C
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1802498
—
MI
01
—
2311227
NCPDP
MI
01
—
540B50560
BLUE CROSS BLUE SHIELD
MI
Enumeration date
03/03/2006
Last updated
07/21/2022
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