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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