Organization
BELSAY MEDICAL PHARMACY INC
Active
Organization
BELSAY MEDICAL PHARMACY INC
Active
Other names
BELSAY MEDICAL PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN ERICKSON RPH (PRESIDENT/RPH)
(810) 715-1415
Entity
Organization
Contact information
Practice address
1096 S BELSAY RD STE I, BURTON, MI 48509-1948
(810) 715-1415
(810) 715-1404
Mailing address
1096 S BELSAY RD STE I, BURTON, MI 48509-1948
(810) 715-1415
(810) 715-1404
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301006445
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2355990
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
3264002
—
MI
Enumeration date
09/30/2005
Last updated
10/26/2011
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