Organization
ELMERS PHARMACY INC
Active
Other names
ELMER'S PHARMACY INC.
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ELENICH (MGR)
(906) 789-9200
Entity
Organization
Contact information
Practice address
412 N LINCOLN RD, ESCANABA, MI 49829-1365
(906) 789-9200
(906) 789-2118
Mailing address
412 N LINCOLN RD, ESCANABA, MI 49829-1365
(906) 789-9200
(906) 789-2118
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301004386
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1731761
—
MI
01
—
2039403
PK
—
05
—
2340420
—
MI
Enumeration date
08/10/2006
Last updated
08/25/2014
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