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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