Organization
PITKIN REXALL DRUG COMPANY
Active
Other names
Pitkin Drug and Gift Shoppe, Pitkin Drug Co Inc, Pitkin Drug
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY L UGANSKI RPH (OWNER/PHARMACIST)
(231) 893-5495
Entity
Organization
Contact information
Practice address
101 W COLBY ST, WHITEHALL, MI 49461-1014
(231) 893-5495
(231) 896-2723
Mailing address
101 W COLBY ST, WHITEHALL, MI 49461-1014
(231) 893-5495
(231) 893-2723
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301000792
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2310237
OTHER ID NUMBER
—
05
—
2310237
—
MI
Enumeration date
08/27/2006
Last updated
06/16/2018
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