Wakefield Pharmacy Enterprises Ltd
Pharmacy, Community/Retail Pharmacy in Wakefield, MI. Organization (NPI-2).
NPI number1528073145
StatusActive
Last updated in NPPESSep 4, 2013
Details
- NPI
- 1528073145
- Entity type
- Organization (NPI-2)
- Legal business name
- Wakefield Pharmacy Enterprises Ltd
- Organization subpart
- No
- Enumeration date
- Jul 30, 2006
- Last updated
- Sep 4, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · DME SUPPLIER - PHARMACY
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
| 333600000X | Pharmacy | 5301008317 | MI | |
| 3336L0003X | Pharmacy, Long Term Care Pharmacy | – | – | |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 5301008317 | MI |
Other names
- Wakefield Pharmacy (Doing Business As)
Practice location
408 Sunday Lake StWakefield, MI 49968-1338
Phone 906-229-5966 · Fax 906-229-5707
Mailing address
Po Box 171Wakefield, MI 49968-0171
Phone 906-229-5966
Authorized official
Kathy Rocco
Owner
9062295966
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