Organization
THUNDER BAY COMMUNITY HEALTH SERVICE, INC
Active
Organization
THUNDER BAY COMMUNITY HEALTH SERVICE, INC
Active
Other names
THUNDER BAY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LORI WINEMAN (PHARMACY DIRECTOR)
(989) 785-5535
Entity
Organization
Contact information
Practice address
11899 M 32, ATLANTA, MI 49709-9374
(989) 785-5535
(989) 785-5267
Mailing address
PO BOX 850, 11899 M32, ATLANTA, MI 49709-0850
(989) 785-5535
(989) 785-5267
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301007563
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2363959
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
2363959
—
MI
Enumeration date
10/13/2006
Last updated
04/06/2017
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