Fort Street Pharmacy
Pharmacy, Community/Retail Pharmacy in Lincoln Park, MI. Organization (NPI-2).
NPI number1477699080
StatusActive
Last updated in NPPESApr 26, 2011
Details
- NPI
- 1477699080
- Entity type
- Organization (NPI-2)
- Legal business name
- Fort Street Pharmacy
- Organization subpart
- No
- Enumeration date
- Jan 30, 2007
- Last updated
- Apr 26, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 5301004123 | MI | Yes |
| 333600000X | Pharmacy | – | – |
Practice location
2255 Fort StLincoln Park, MI 48146-2671
Phone 313-357-7500 · Fax 313-357-7502
Mailing address
Po Box 46118Mount Clemens, MI 48046-6118
Authorized official
John Leach
Owner And Phcist
3133577500
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All 33 Community/Retail Pharmacy providers in Lincoln Park · All 580 providers in Lincoln Park
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