Organization
MEDICINE ROOM
Active
Other names
Medicine room
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA CRISP (RPH,OWNER)
(810) 441-1685
Entity
Organization
Contact information
Practice address
72 S. WASHINGTON ST, STE 207, OXFORD, MI 48371
(248) 628-7990
(248) 628-6507
Mailing address
72 S. WASHINGTON ST STE 207 OXFORD, MI 48371, STE 207, OXFORD, MI 48371
(248) 628-7990
(248) 628-6507
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301003591
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2102167
—
MI
Enumeration date
09/16/2006
Last updated
07/10/2024
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