Organization
WEST SHORE PROFESSIONAL PHARMACY INC
Active
Other names
WEST SHORE PROFESSIONAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTI NAGENGAST (VICE PRESIDENT FINANCE)
(231) 728-1950
Entity
Organization
Contact information
Practice address
1150 E SHERMAN BOULAVARD, SUITE 1400, MUSKEGON, MI 49444-1870
(231) 672-2204
(231) 672-3799
Mailing address
1150 E SHERMAN BOULAVARD, SUITE 1400, MUSKEGON, MI 49444-1870
(231) 672-2204
(231) 672-3799
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301003135
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2041196
PK
—
Enumeration date
06/09/2006
Last updated
08/23/2016
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