Organization
PARTWO INC
Active
Organization
PARTWO INC
Active
Other names
MEDCENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID SAKSTRUP (OWNER)
(248) 625-3885
Entity
Organization
Contact information
Practice address
7210 N MAIN ST, STE 102, CLARKSTON, MI 48346-1575
(248) 625-3885
(248) 625-3886
Mailing address
7210 N MAIN ST, STE 102, CLARKSTON, MI 48346-1575
(248) 625-3885
(248) 625-3886
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301007897
MI
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2046965
PK
—
05
—
2366741
—
MI
Enumeration date
08/27/2006
Last updated
03/30/2016
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