Organization
EHARDT'S ADVANCED CARE PHARMACY & MEDICAL SUPPLIES
Active
Parent organization
EHARDT'S ADVANCED CARE PHARMACY & MEDICAL SUPPLIES
Other names
EHARDT'S ADVANCED CARE PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
EHARDT'S ADVANCED CARE PHARMACY & MEDICAL SUPPLIES
Authorized official
TRACY A JED (DIRECTOR OF OPERATIONS)
(586) 323-8280
Entity
Organization
Contact information
Practice address
57 N HOWARD AVE, CROSWELL, MI 48422-1222
(810) 679-3900
Mailing address
50680 CORPORATE DR, SHELBY TOWNSHIP, MI 48315-3107
(586) 323-8280
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4821540 87
—
MI
01
—
540G610210
BLUE CROSS AND BLUE SHIEL
MI
Enumeration date
05/23/2006
Last updated
08/11/2011
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