Organization
CENTRAL PHARMACY-PERRY LLC
Active
Other names
Central Pharmacy-Perry
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID LARNER RPH (MEMBER)
(517) 410-8581
Entity
Organization
Contact information
Practice address
150 S. MAIN ST, SUITE A, PERRY, MI 48872-9703
(517) 625-8640
(517) 625-8642
Mailing address
PO BOX 105, PERRY, MI 48872-0105
(517) 625-8640
(517) 625-8642
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301010568
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2147807
PK
—
05
—
68097549363
—
MI
Enumeration date
06/23/2006
Last updated
08/21/2020
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