Mattawan Pharmacy is a Pharmacy in Mattawan, Michigan. Mattawan Pharmacy practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Mattawan Pharmacy is 1376655365. The last update date is 2008-07-24.
Mattawan Pharmacy's current location address is Po Box 69, Mattawan, Michigan. You can contact this provider via phone number 2696684571 and fax number 2696683439. The mailing address for Mattawan Pharmacy is Po Box 69, Mattawan, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Mattawan Pharmacy |
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Address | Po Box 69, Mattawan, Michigan |
Phone Number | 2696684571 |
Fax Number | 2696683439 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER PHCS |
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Authorized Official Name | Nantais Edward |
Telephone Number | 2696684549 |
NPI Number Detail
NPI Number | 1376655365 |
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Provider Enumeration Date | 2006-08-31 |
Last Updated Date | 2008-07-24 |
Provider Mailing Address Detail
Address | Po Box 69 |
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City | Mattawan |
State | Michigan (MI) |
Post Code | 490710069 |
Phone Number | 2696684571 |
Fax Number | 2696683439 |
Provider's Primary Taxonomy Detail
Speciality | Pharmacy |
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Taxonomy | 333600000X |
Licence No | 5301005559 |
Definition: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense presc |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
2348565 | MI | -- | |
2348565 | OTHER ID NUMBER-COMMERCIAL NUM |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mattawan Pharmacy by the Centers for Medicare & Medicaid Services?
The Mattawan Pharmacy has been issued the NPI (National Provider Identifier) 1376655365, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Mattawan Pharmacy is geographically located?
The Mattawan Pharmacy is physically situated at the following location: Po Box 69, Mattawan, MI, 490710069.
What is the Mattawan Pharmacy's specialty and taxonomy code?
The Mattawan Pharmacy's specialty is Pharmacy, and the corresponding taxonomy code is 333600000X.
When did Mattawan Pharmacy receive its 1376655365 assignment?
The Mattawan Pharmacy was assigned its 1376655365 on 2006-08-31, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Mattawan Pharmacy most recently updated or revised?
The information pertaining to Mattawan Pharmacy, including its address, specialty, and other relevant details, was last updated or revised on 2008-07-24.
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