Organization
CHESANING RX LLC
Active
Other names
Family rexall rx
Organization subpart
No
Provider details
NPI number
Authorized official
CANDICE TOLF (3RD PARTY COORDINATOR)
(313) 751-7979
Entity
Organization
Contact information
Practice address
202 W BROAD ST, CHESANING, MI 48616-1205
(989) 865-0316
(989) 865-0317
Mailing address
6689 ORCHARD LAKE RD # 168, WEST BLOOMFIELD, MI 48322-3404
(248) 862-6148
(248) 862-6132
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301010810
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932611639
—
MI
01
—
FSRX1833636
FLEXSCRIPT
—
Enumeration date
11/02/2017
Last updated
09/20/2023
About Stedi
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