Organization
MCBAIN FAMILY PHARMACY PLLC
Active
Organization
MCBAIN FAMILY PHARMACY PLLC
Active
Other names
LC Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CLAYTON GILDE (OWNER,AO)
(231) 559-0005
Entity
Organization
Contact information
Practice address
57 N MOREY RD, LAKE CITY, MI 49651-8585
(231) 559-0005
(231) 559-0004
Mailing address
PO BOX 56, MC BAIN, MI 49657-0056
(231) 559-0005
(231) 559-0004
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301010683
MI
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2152214
PK
—
Enumeration date
05/28/2015
Last updated
03/20/2025
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