Organization
UPPER PENINSULA ASSOCIATION OF RURAL HEALTH SERVICES, INC.
Active
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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