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Organization

BALDWIN FAMILY HEALTH CARE

Active
Parent organization
BALDWIN FAMILY HEALTH CARE
Other names
Cobb Street Pharmacy
Organization subpart
Yes

Provider details

NPI number
Legal business name
BALDWIN FAMILY HEALTH CARE
Authorized official
JULIE TATKO (CEO)
(231) 745-5009
Entity
Organization

Contact information

Practice address
520 COBB ST, CADILLAC, MI 49601-2588
(231) 876-6740
(231) 876-6739
Mailing address
520 COBB ST, CADILLAC, MI 49601-2588
(231) 876-6740
(231) 876-6739

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301008724
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2360852
NCPDP PROVIDER IDENTIFICATION NUMBER
05
2360852
MI
Enumeration date
10/18/2005
Last updated
07/21/2022
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