Organization
HARDINGS GALESBURG MARKET INC
Active
Organization
HARDINGS GALESBURG MARKET INC
Active
Other names
Harding's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAN GUSTAVSON (DIRECTOR OF PHARMACY)
(269) 492-2919
Entity
Organization
Contact information
Practice address
3750 W CENTRE AVE, PORTAGE, MI 49024-4630
(269) 323-7380
(269) 323-7392
Mailing address
3750 W CENTRE AVE, PORTAGE, MI 49024-4630
(269) 323-7380
(269) 323-7392
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
5301006958
MI
333600000X
Pharmacy
5301006958
MI
3336C0003X
Community/Retail Pharmacy
Primary
5301006958
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2359695
NCPDP
—
05
—
50-2359695
—
MI
05
—
87-4835868
—
MI
Enumeration date
08/22/2006
Last updated
06/12/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up