Organization
EAGLE PHARMACY OF FARWELL PC
Active
Other names
Eagle Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN GROSS (OWNER)
(989) 339-9008
Entity
Organization
Contact information
Practice address
109 W MAIN ST, FARWELL, MI 48622-9553
(989) 588-2900
(989) 588-2901
Mailing address
11271 HARRISON AVE, FARWELL, MI 48622-9439
(989) 339-9008
(855) 855-4919
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301009495
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2374875
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/25/2011
Last updated
06/25/2023
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