Organization
L'ANSE PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN HENDRICKS RPH (PRESIDENT)
(906) 524-6202
Entity
Organization
Contact information
Practice address
18341 US HWY 41, L'ANSE, MI 49946
(906) 524-6202
(906) 524-7702
Mailing address
18341 US HWY 41, L'ANSE, MI 49946
(906) 524-6202
(906) 524-7702
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2311152
NCPDP
MI
05
—
2529613
—
MI
Enumeration date
01/03/2007
Last updated
02/07/2013
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