Organization
CADILLAC FAMILY PHARMACY LLC
Active
Other names
CADILLAC FAMILY PHARMACY LLC
Organization subpart
No
Provider details
NPI number
Authorized official
LISA LUNDAHL BS PHARMACY (MEMBER)
(231) 775-8200
Entity
Organization
Contact information
Practice address
108 N MITCHELL ST, CADILLAC, MI 49601-2713
(231) 775-8200
(231) 775-8099
Mailing address
108 N MITCHELL ST, CADILLAC, MI 49601-2713
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301007026
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2360092
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
2360092
—
MI
Enumeration date
09/25/2006
Last updated
04/29/2021
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