Organization
UPPER PENINSULA ASSOCIATION OF RURAL HEALTH SERVICES, INC.
Active
Other names
UPARHS Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA JAKSIC (EXECUTIVE DIRECTOR)
(906) 228-3613
Entity
Organization
Contact information
Practice address
N16088 S. BALSAM 1.5 LANE, SPALDING, MI 49886
(906) 497-5516
(906) 497-4206
Mailing address
PO BOX 159, SPALDING, MI 49886-0159
(906) 497-5933
(906) 497-4033
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301009294
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649594284
—
MI
01
—
2374104
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/25/2010
Last updated
06/24/2010
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