Organization
TEMPERANCE APOTHECARY
Active
Other names
Crary Drug
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CODIE L SEYMOUR (PHARMACIST)
(734) 847-6788
Entity
Organization
Contact information
Practice address
8941 LEWIS AVE, TEMPERANCE, MI 48182-1656
(734) 847-6788
(734) 847-7348
Mailing address
8941 LEWIS AVE, TEMPERANCE, MI 48182-1656
(734) 847-6788
(734) 847-7348
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
5301008093
MI
3336C0003X
Community/Retail Pharmacy
Primary
5301008093
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821195108
—
MI
01
—
2366715
NCPDP NUMBER
—
01
—
5301008093
PHARMACY LICENSE NUMBER
MI
01
—
540E810990
BCBS DME NUMBER
MI
Enumeration date
09/20/2006
Last updated
11/24/2021
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