Organization
DORR COMMUNITY PHARMACY INC
Active
Other names
DORR COMMUNITY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN TILLOTSON RPH (OWNER)
(616) 681-9947
Entity
Organization
Contact information
Practice address
1730 142ND AVE, DORR, MI 49323-9434
(616) 681-9947
(616) 681-2506
Mailing address
PO BOX 98, DORR, MI 49323-0098
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301005206
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2345418
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
2345418
—
MI
Enumeration date
10/29/2006
Last updated
01/30/2009
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