Organization
BORDENS PHARMACY INC
Active
Organization
BORDENS PHARMACY INC
Active
Other names
BORDENS PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM DUDEWICZ RPH (OWNER AND PRES)
(989) 652-6945
Entity
Organization
Contact information
Practice address
415 W VIENNA ST, CLIO, MI 48420-1307
(989) 652-6945
(989) 652-6945
Mailing address
469 WICKSON DR, FRANKENMUTH, MI 48734-1144
(989) 652-6945
(989) 652-6945
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301008088
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2040754
PK
—
05
—
2313245
—
MI
05
—
2501793
—
MI
Enumeration date
06/11/2005
Last updated
10/26/2013
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