Organization
PITKIN REXALL DRUG COMPANY
Active
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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