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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