Organization
CHARLEVOIX COMMONS APOTHECARY, LTD
Active
Other names
Central Drug Store Inc, Central Drug Store
Organization subpart
No
Provider details
NPI number
Authorized official
LACEY GILDE (OWNER)
(231) 825-8175
Entity
Organization
Contact information
Practice address
301 BRIDGE ST, CHARLEVOIX, MI 49720-1414
(231) 547-2424
(231) 547-0670
Mailing address
301 BRIDGE ST, CHARLEVOIX, MI 49720-1414
(231) 547-2424
(231) 547-0670
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301000205
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2313156
NCPDP
MI
05
—
2313156
—
MI
Enumeration date
10/13/2006
Last updated
11/17/2025
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