Organization
NORTHLAND FOOD CENTER INC
Active
Other names
NORTHLAND FOOD CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ASCIONE (OPS MGR/GM)
(231) 258-9114
Entity
Organization
Contact information
Practice address
2377 E M 113, KINGSLEY, MI 49649-9370
(231) 263-5123
(231) 263-5513
Mailing address
2101 US 131 NW, KALKASKA, MI 49646
(231) 258-9114
(231) 258-4449
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301008394
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2042307
PK
—
05
—
4904526
—
MI
Enumeration date
06/04/2006
Last updated
07/19/2018
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