Organization
ASPIRE RX LLC
Active
Organization
ASPIRE RX LLC
Active
Other names
St. Louis Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JIM HORTON (PRESIDENT)
(989) 621-1534
Entity
Organization
Contact information
Practice address
116 N MILL ST, SAINT LOUIS, MI 48880-1521
(989) 681-6633
(989) 681-6644
Mailing address
121 E BROADWAY ST, STE. E, MOUNT PLEASANT, MI 48858-2312
(989) 773-4879
(989) 773-5233
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301009499
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2374899
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
2374899
—
MI
Enumeration date
01/21/2011
Last updated
04/14/2011
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