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Organization

STATE STREET PHARMACY LTC

Active
Parent organization
STATE STREET PHARMACY AND WELLNESS CENTER INC
Other names
State Street Pharmacy LTC
Organization subpart
Yes

Provider details

NPI number
Legal business name
STATE STREET PHARMACY AND WELLNESS CENTER INC
Authorized official
ADAM ZOVISHLACK (PRESIDENT/OWNER)
(989) 672-3500
Entity
Organization

Contact information

Practice address
192 N STATE ST, CARO, MI 48723-1550
(989) 672-3500
(989) 672-3555
Mailing address
192 N STATE ST, CARO, MI 48723-1550
(989) 672-3500
(989) 672-3555

Taxonomy

Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary

Other

Enumeration date
03/08/2024
Last updated
03/08/2024
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