Organization
PHARMD CO
Active
Other names
PHARMD CO. Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JASON CHON (PRESIDENT/CEO)
(248) 494-0332
Entity
Organization
Contact information
Practice address
8191 S STATE RD, GOODRICH, MI 48438-9723
(810) 636-2979
(810) 636-2981
Mailing address
PO BOX 547, GOODRICH, MI 48438-0547
(810) 636-2980
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301009826
MI
3336C0004X
Compounding Pharmacy
—
—
3336I0012X
Institutional Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2133275
PK
—
Enumeration date
12/30/2011
Last updated
03/27/2017
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