State Street Pharmacy & Wellness Center Inc in Caro - Community/retail Pharmacy

State Street Pharmacy & Wellness Center Inc - NPI 1124137740

State Street Pharmacy & Wellness Center Inc is a Community/retail Pharmacy in Caro, Michigan. State Street Pharmacy & Wellness Center Inc practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for State Street Pharmacy & Wellness Center Inc is 1124137740. The last update date is 2012-09-10.

State Street Pharmacy & Wellness Center Inc's current location address is 192 N State St, Caro, Michigan. You can contact this provider via phone number 9896723500 and fax number 9896723555. The mailing address for State Street Pharmacy & Wellness Center Inc is 192 N State St, Caro, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization State Street Pharmacy & Wellness Center Inc
Address 192 N State St, Caro, Michigan
Phone Number 9896723500
Fax Number 9896723555
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Beck Dennis Randy
Credentials RPH
Telephone Number 9896723500

NPI Number Detail

NPI Number 1124137740
Provider Enumeration Date 2006-08-29
Last Updated Date 2012-09-10

Provider Mailing Address Detail

Address 192 N State St
City Caro
State Michigan (MI)
Post Code 487231550
Phone Number 9896723500
Fax Number 9896723555

Provider's Primary Taxonomy Detail

Speciality Community/retail Pharmacy
Taxonomy 3336C0003X
Licence No 5301007028
Definition:
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing pr

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2360131 MI NCPDP NUMBER

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FAQs about State Street Pharmacy & Wellness Center Inc

What is the unique 10-digit identifier code assigned to State Street Pharmacy & Wellness Center Inc by the Centers for Medicare & Medicaid Services?

The State Street Pharmacy & Wellness Center Inc has been issued the NPI (National Provider Identifier) 1124137740 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where State Street Pharmacy & Wellness Center Inc's facilities are geographically located?

The facilities of State Street Pharmacy & Wellness Center Inc are physically situated at the following location: 192 N State St, Caro, MI, 487231550.

What is the area of specialization for State Street Pharmacy & Wellness Center Inc, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for State Street Pharmacy & Wellness Center Inc is Community/retail Pharmacy, and the corresponding taxonomy code that categorizes this area of expertise is 3336C0003X.

On what date did the State Street Pharmacy & Wellness Center Inc receive the assignment of its 1124137740 from the Centers for Medicare & Medicaid Services?

The State Street Pharmacy & Wellness Center Inc was issued its 1124137740 by the Centers for Medicare & Medicaid Services on 2006-08-29.

As of what date was the information regarding State Street Pharmacy & Wellness Center Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to State Street Pharmacy & Wellness Center Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-09-10.

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