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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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