Mesick Pharmacy INC
Pharmacy, Community/Retail Pharmacy in Mesick, MI. Organization (NPI-2).
NPI number1285644997
StatusActive
Last updated in NPPESOct 18, 2016
Details
- NPI
- 1285644997
- Entity type
- Organization (NPI-2)
- Legal business name
- Mesick Pharmacy INC
- Organization subpart
- No
- Enumeration date
- Aug 8, 2006
- Last updated
- Oct 18, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 5301003492 | MI | Yes |
| 333600000X | Pharmacy | 5301003492 | MI |
Other names
- Mesick Pharmacy (Other Name)
Practice location
112 Mesick AveMesick, MI 49668
Phone 231-885-1751 · Fax 231-885-1998
Mailing address
Po Box 8112 Mesick Ave
Mesick, MI 49668
Phone 231-885-1751 · Fax 231-885-1998
Authorized official
William Conrad Runyon
Owner
2317755073
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