Organization
LTC PHARMACY, LLC
Active
Parent organization
PRESCRIPTION SUPPLY INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRESCRIPTION SUPPLY INC.
Authorized official
MR. CHRISTOPHER SCHOEN (VICE PRESIDENT)
(616) 214-8011
Entity
Organization
Contact information
Practice address
4477 E PARIS AVE SE, KENTWOOD, MI 49512-5312
(616) 214-8011
(616) 554-9581
Mailing address
4477 E PARIS AVE SE, KENTWOOD, MI 49512-5312
(616) 214-8011
(616) 554-9581
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
5301009544
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588963706
—
MI
Enumeration date
12/17/2012
Last updated
02/17/2014
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