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Organization

TAWAS PHARMACY

Active
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Organization

TAWAS PHARMACY

Active
Other names
TAWAS SUPER SAVMOR DRUGS, Tawas Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
ERIK NELSON (CEO)
(269) 352-2198
Entity
Organization

Contact information

Practice address
306 W LAKE ST, TAWAS CITY, MI 48763-8308
(989) 362-3311
(989) 362-5733
Mailing address
306 W LAKE ST, TAWAS CITY, MI 48763-8308
(989) 362-3311

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2363238
OTHER ID NUMBER
05
2363238
MI
Enumeration date
08/27/2006
Last updated
11/07/2023
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