Organization
UNION PRESCRIPTION CENTER I, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW S GUNN RPH (RPH/VP)
(810) 696-2900
Entity
Organization
Contact information
Practice address
11830 N SAGINAW ST, MOUNT MORRIS, MI 48458-1504
(810) 686-2900
(810) 686-6213
Mailing address
43155 W 9 MILE RD, NOVI, MI 48375-4190
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
5301004994
MI
3336C0003X
Community/Retail Pharmacy
Primary
5301004994
MI
3336L0003X
Long Term Care Pharmacy
5301004994
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2344620
OTHER ID NUMBER
—
05
—
2344620
—
MI
Enumeration date
08/27/2006
Last updated
03/22/2018
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