Organization
EHARDT'S PHARMACY INC.
Active
Other names
Ehardt's Pharmacy #6
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY LIER II (CFO / BUSINESS MANAGER)
(810) 679-2284
Entity
Organization
Contact information
Practice address
6002 N LAPEER RD, NORTH BRANCH, MI 48461-8150
(810) 793-5006
Mailing address
57 N HOWARD AVE, CROSWELL, MI 48422-1222
(810) 679-2284
(810) 679-2364
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301009386
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2374243
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/08/2010
Last updated
09/12/2016
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