Organization
PORT HURON PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANKUR PATEL (OWNER)
(248) 632-8182
Entity
Organization
Contact information
Practice address
515 10TH ST, PORT HURON, MI 48060-4404
(810) 989-5990
(810) 989-5992
Mailing address
515 10TH ST, PORT HURON, MI 48060-4404
(810) 989-5990
(810) 989-5992
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
02/15/2012
Last updated
02/15/2012
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