White Pine Apothecary INC
Pharmacist in White Pine, MI. Organization (NPI-2).
NPI number1043388366
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1043388366
- Entity type
- Organization (NPI-2)
- Legal business name
- White Pine Apothecary INC
- Organization subpart
- No
- Enumeration date
- Dec 4, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 5301002806 | MI | Yes |
Other names
- The Apothecary (Doing Business As)
Practice location
101 Mineral River PlazaWhite Pine, MI 49971-0816
Phone 906-885-5301 · Fax 906-885-5302
Mailing address
Po Box 816101 Mineral River Plaza
White Pine, MI 49971-0816
Phone 906-885-5301 · Fax 906-885-5302
Authorized official
Charles Eugene Blezek
President Pharmacist
9068855301
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