Organization
CHESANING RX LLC
Active
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
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