Organization
OSHTEMO PHARMACY LLC
Active
Other names
Oshtemo Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PHI NGUYEN PHARMD (OWNER)
(734) 658-1192
Entity
Organization
Contact information
Practice address
635 N 9TH ST STE E, KALAMAZOO, MI 49009-5897
(269) 459-8653
(269) 459-8654
Mailing address
635 N 9TH ST STE E, KALAMAZOO, MI 49009-5897
(269) 459-8653
(269) 459-8654
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
5301010987
MI
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2162465
PK
—
Enumeration date
08/04/2016
Last updated
09/28/2018
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