Organization
PCI PHARMACY, INC
Active
Organization
PCI PHARMACY, INC
Active
Other names
Pharmacy Care, Pharmacy Care, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN JOY RAREDON PHARMD (OWNER)
(269) 795-7936
Entity
Organization
Contact information
Practice address
4652 N M 37 HWY, MIDDLEVILLE, MI 49333-8806
(269) 795-7936
Mailing address
4652 N M 37 HWY, MIDDLEVILLE, MI 49333-8806
(269) 795-7936
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1964469
—
MI
05
—
2540648
—
MI
01
—
5301003718
STATE LICENSE NUMBER
MI
01
—
OP44150
MEDICARE PART B FLU/PNEUM
MI
Enumeration date
12/05/2005
Last updated
03/07/2022
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