Ddm Inc in Traverse City - Community/retail Pharmacy

Ddm Inc - NPI 1447365473

Ddm Inc is a Community/retail Pharmacy in Traverse City, Michigan. Ddm Inc practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Ddm Inc is 1447365473. The last update date is 2009-12-29.

Ddm Inc's current location address is 4025 Churns Village Dr., Traverse City, Michigan. You can contact this provider via phone number 2319430085 and fax number 2319430095. The mailing address for Ddm Inc is 4025 Churns Village Dr., Traverse City, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization Ddm Inc
Address 4025 Churns Village Dr., Traverse City, Michigan
Phone Number 2319430085
Fax Number 2319430095
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PHARMACIST
Authorized Official Name Maupin B Dale
Credentials RPH
Telephone Number 2319430085

NPI Number Detail

NPI Number 1447365473
Provider Enumeration Date 2006-08-20
Last Updated Date 2009-12-29

Provider Mailing Address Detail

Address 4025 Churns Village Dr.
City Traverse City
State Michigan (MI)
Post Code 49684
Phone Number 2319430085
Fax Number 2319430095

Provider's Primary Taxonomy Detail

Speciality Community/retail Pharmacy
Taxonomy 3336C0003X
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
2364064 MI --
2364064 OTHER ID NUMBER-COMMERCIAL NUM

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FAQs about Ddm Inc

What is the unique provider identifier assigned to Ddm Inc?

The Ddm Inc has been issued the NPI (National Provider Identifier) 1447365473 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where Ddm Inc is physically located?

The Ddm Inc is physically situated at the following address: 4025 Churns Village Dr., Traverse City, MI, 49684.

What is Ddm Inc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Ddm Inc is Community/retail Pharmacy, and the corresponding taxonomy classification code for this specialized field is 3336C0003X.

On what date did the Ddm Inc receive its 1447365473 assignment from the Centers for Medicare & Medicaid Services?

The Ddm Inc was assigned its 1447365473 by the Centers for Medicare & Medicaid Services on 2006-08-20.

When was the information related to Ddm Inc most recently updated or refreshed?

The details pertaining to the Ddm Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-12-29.

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