Organization
HEMMINGSEN DRUG STORE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD B DILLMAN RPH (OWNER)
(269) 781-3411
Entity
Organization
Contact information
Practice address
132 W MICHIGAN AVE, MARSHALL, MI 49068-1522
(269) 781-3411
(269) 781-2579
Mailing address
132 W MICHIGAN AVE, MARSHALL, MI 49068-1522
(269) 781-3411
(269) 781-2579
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301007785
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200372460A
—
IN
05
—
2304234
—
MI
05
—
4838636
—
MI
01
—
540A310920
BLUE CROSS DME
MI
Enumeration date
10/03/2006
Last updated
07/18/2011
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