Organization
RITE AID PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA FERGUSON (ADMINISTRATIVE ASSISTANT)
(989) 705-1395
Entity
Organization
Contact information
Practice address
4652 W HOUGHTON LAKE RD, HOUGHTON LAKE, MI 48629
(989) 366-9212
Mailing address
6885 SECTION RD, OTTAWA LAKE, MI 49267-9551
(419) 787-3177
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
380-85-8390
MI
Other
Enumeration date
08/21/2014
Last updated
08/21/2014
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