Organization
HOLIHANS DRUG STORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAN S. BENGRY R.PH. (OWNER)
(231) 734-2551
Entity
Organization
Contact information
Practice address
128 N MAIN ST, EVART, MI 49631
(231) 734-2551
(231) 734-5890
Mailing address
128 N. MAIN ST., P. O. BOX 515, EVART, MI 49631
(231) 734-2551
(231) 734-5890
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5301004005
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1592882
—
MI
05
—
1967110
—
MI
Enumeration date
09/20/2006
Last updated
06/25/2008
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