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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