Organization
DJCC, INC.
Active
Other names
The Medicine Shoppe #1263
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DYLYNN M VANDERSCHAEGEN RPH (OWNER)
(906) 932-4500
Entity
Organization
Contact information
Practice address
200 E AYER ST, SUITE 2, IRONWOOD, MI 49938-2070
(906) 932-4500
(906) 932-6329
Mailing address
200 E AYER ST, SUITE 2, IRONWOOD, MI 49938-2070
(906) 932-4500
(906) 932-6329
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301006875
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33285400
—
WI
05
—
3518024
—
MI
05
—
3518033
—
MI
Enumeration date
08/30/2006
Last updated
08/22/2020
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