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The Country Squire Discount Pharmacy, Inc
Durable Medical Equipment & Medical Supplies in Fremont, Michigan
NPI 1700887148

The Country Squire Discount Pharmacy, Inc is a Durable Medical Equipment & Medical Supplies based in Fremont, MI. The Country Squire Discount Pharmacy, Inc practices in Fremont, MI. The NPI Number for The Country Squire Discount Pharmacy, Inc is 1700887148 and holds a License No. 5301001172 (Michigan).

The current practice location address for The Country Squire Discount Pharmacy, Inc is 30 E Main, Fremont, MI and can be reached out via phone at 231-924-2120 and via fax at 231-924-6310.

Location: 30 E Main, Fremont, MI, 49412-1244
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1700887148
Provider Name
The Country Squire Discount Pharmacy, Inc
Credential
Provider Entity Type
Organization
Address
30 E Main, Fremont, MI, 49412-1244
Phone Number
231-924-2120
Fax Number
231-924-6310
Provider Enumeration Date
08/09/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
540F210020 01 MI BCBS OF MI DME
87411545 05 MI
institution
Provider Business Practice Location Address Details
Address
30 E Main
City
Fremont
State
Michigan
Zip
49412-1244
Phone Number
231-924-2120
Fax Number
231-924-6310
person
Provider Business Mailing Address Details
Address
30 E Main
City
Fremont
State
Michigan
Zip
49412-1244
Phone Number
231-924-2120
Fax Number
231-924-6310
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
5301001172 (Michigan)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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