Organization
CADILLAC FAMILY PHARMACY LLC
Active
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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