Organization
CLARKSTONRX LLC
Active
Other names
Clarkston Pharmacy LTC
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW NELSON (MEMBER)
(248) 625-9490
Entity
Organization
Contact information
Practice address
5838 S MAIN ST, STE B, CLARKSTON, MI 48346-5201
(248) 625-9490
(248) 625-9207
Mailing address
5838 S MAIN ST, CLARKSTON, MI 48346-5201
(248) 625-9490
(248) 625-9207
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
5301007964
MI
Other
Enumeration date
04/23/2007
Last updated
04/15/2019
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