Organization
CHEMIST SHOPPE LTD.
Active
Organization
CHEMIST SHOPPE LTD.
Active
Other names
The Chemist Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID JAMES MCDIARMID JR. R.PH. (PHARMCIST/PRESIDENT)
(616) 774-7799
Entity
Organization
Contact information
Practice address
1900 WEALTHY ST SE STE 105, GRAND RAPIDS, MI 49506-2969
(616) 774-7799
(616) 459-7930
Mailing address
1900 WEALTHY ST SE STE 105, GRAND RAPIDS, MI 49506-2969
(616) 774-7799
(616) 459-7930
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301008423
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1871607564
NPI
—
01
—
2322042
NCPDP
—
05
—
2531531
—
MI
01
—
5301008423
PHARMACY LICENSE
MI
01
—
5315027660
PHARMACY LICENSE CONTROLLED SUBSTANCE
MI
Enumeration date
08/18/2006
Last updated
09/15/2017
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