Organization
SAGINAW CHIPPEWA INDIAN TRIBE
Active
Organization
SAGINAW CHIPPEWA INDIAN TRIBE
Active
Other names
Cardinal Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH JACQUE (PHCY MANAGER)
(989) 317-3700
Entity
Organization
Contact information
Practice address
2410 S LEATON RD, STE 8, MOUNT PLEASANT, MI 48858-8639
(989) 317-3700
(989) 317-3702
Mailing address
2410 S LEATON RD, STE 8, MOUNT PLEASANT, MI 48858-8639
(989) 317-3700
(989) 317-3702
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301008924
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2117020
PK
—
Enumeration date
09/17/2008
Last updated
01/20/2016
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