Organization
CENTRAL PHARMACY-OWOSSO LLC
Active
Other names
Central Pharmacy-Owosso
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MICHAEL LARNER (OWNER)
(989) 725-1344
Entity
Organization
Contact information
Practice address
111 N WASHINGTON ST, OWOSSO, MI 48867-2819
(989) 725-1344
(989) 729-0109
Mailing address
111 N WASHINGTON ST, OWOSSO, MI 48867-2819
(989) 725-1344
(989) 729-0109
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
5301010567
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851337760
—
MI
01
—
2175989
PK
—
01
—
2384395
NCPDP
—
Enumeration date
02/23/2018
Last updated
07/31/2024
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