Organization
PMC PHARMACY INC
Active
Other names
MEDCIAL CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN DEMRO (OWNER)
(269) 279-5722
Entity
Organization
Contact information
Practice address
1241 W BROADWAY ST, THREE RIVERS, MI 49093-8319
(269) 279-5722
(269) 279-1473
Mailing address
1241 W BROADWAY ST, THREE RIVERS, MI 49093-8319
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301004500
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1620145
—
MI
01
—
2338019
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
05/08/2006
Last updated
03/31/2009
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