Organization
CHARLEVOIX COMMONS APOTHECARY, LTD
Active
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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