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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
About Stedi
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