Organization
COMMUNITY PRESCRIPTION SUPPORT PROGRAM
Active
Other names
CRXSP
Organization subpart
No
Provider details
NPI number
Authorized official
PHYLLIS KLONOWSKI RPH (PHARMACY DIRECTOR)
(989) 907-5602
Entity
Organization
Contact information
Practice address
401 HOLDEN ST, SAGINAW, MI 48601-2565
(989) 907-5602
(989) 907-5603
Mailing address
401 HOLDEN ST, SAGINAW, MI 48601-2565
(989) 907-5602
(989) 907-5603
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
02/13/2008
Last updated
02/13/2008
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