Organization
GRAYLING PHARMACY INC
Active
Other names
Grayling Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY BRUCE EMMONS RPH (PHARMICIST OWNER)
(989) 348-6688
Entity
Organization
Contact information
Practice address
208 E MICHIGAN AVE, GRAYLING, MI 49738
(989) 348-6688
(989) 348-1895
Mailing address
208 E MICHIGAN AVE, GRAYLING, MI 49738
(989) 348-6688
(989) 348-1895
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5301006615
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2357261
NCPDP
—
05
—
3376241
—
MI
Enumeration date
05/22/2006
Last updated
08/22/2020
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