Organization
LIPPERT ENTERPRISES
Active
Other names
EVANS DRUG STORE
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES WAYNE BROOKS RPH (OWNER/MANAGER)
(989) 463-3356
Entity
Organization
Contact information
Practice address
328 W SUPERIOR ST, ALMA, MI 48801-1647
(989) 463-3356
(989) 463-5921
Mailing address
328 W SUPERIOR ST, ALMA, MI 48801-1647
(989) 463-3356
(989) 463-5921
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
5301004068
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0B90250
BLUE CROSS DME
MI
05
—
1642920
—
MI
Enumeration date
07/27/2005
Last updated
08/22/2020
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