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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