Organization
THE PRESCRIPTION SHOP OF TRAVERSE CITY EAST INC
Active
Other names
WHITNEY PHARMACY SERVICES INC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES BOCK (PRESIDENT)
(231) 943-0600
Entity
Organization
Contact information
Practice address
4000 EASTERN SKY DR, SUITE 1B, TRAVERSE CITY, MI 49684-7351
(231) 943-0600
(231) 943-0698
Mailing address
404 W COMMERCE DR, SUITE A, TRAVERSE CITY, MI 49684-9854
(231) 943-0600
(231) 943-0698
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
5301008070
MI
Other
Enumeration date
08/11/2009
Last updated
06/29/2012
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