Wilderns Drug Store in Potterville - Pharmacy
Wilderns Drug Store - NPI 1881669745
Wilderns Drug Store is a Pharmacy in Potterville, Michigan. Wilderns Drug Store practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Wilderns Drug Store is 1881669745. The last update date is 2020-08-22.
Wilderns Drug Store's current location address is 123 Lansing Road, Potterville, Michigan. You can contact this provider via phone number 5176457680 and fax number 5176457698. The mailing address for Wilderns Drug Store is 123 Lansing Road, Potterville, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Wilderns Drug Store |
|---|---|
| Address | 123 Lansing Road, Potterville, Michigan |
| Phone Number | 5176457680 |
| Fax Number | 5176457698 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Wildern Alan Jeffrey |
| Credentials | RPH |
| Telephone Number | 5176457680 |
NPI Number Detail
| NPI Number | 1881669745 |
|---|---|
| Provider Enumeration Date | 2006-02-22 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 123 Lansing Road |
|---|---|
| City | Potterville |
| State | Michigan (MI) |
| Post Code | 48876 |
| Phone Number | 5176457680 |
| Fax Number | 5176457698 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacy |
|---|---|
| Taxonomy | 333600000X |
| Licence No | 5301004387 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2340444 | MI | BCBSM | |
| 2340444 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Wilderns Drug Store by the Centers for Medicare & Medicaid Services?
The Wilderns Drug Store has been assigned the NPI (National Provider Identifier) 1881669745 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Wilderns Drug Store?
The Wilderns Drug Store is situated at 123 Lansing Road, in the city of Potterville, state of MI, with the zip code 48876.
What is Wilderns Drug Store's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Wilderns Drug Store is Pharmacy, and the taxonomy code that categorizes this field of expertise is 333600000X.
On what date was the 1881669745 assigned to Wilderns Drug Store?
The Wilderns Drug Store was issued its 1881669745 on 2006-02-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Wilderns Drug Store most recently updated?
The details pertaining to the Wilderns Drug Store, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.
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