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Country Squire Discount Phcy Inc
Long Term Care Pharmacy in Fremont, Michigan
NPI 1871548610

Country Squire Discount Phcy Inc is a Long Term Care Pharmacy based in Fremont, MI and is specialized in Long Term Care Pharmacy. Country Squire Discount Phcy Inc practices in Fremont, MI. The NPI Number for Country Squire Discount Phcy Inc is 1871548610 and holds a License No. 53010008387 (Michigan).

The current practice location address for Country Squire Discount Phcy Inc is 26 E Main St, Fremont, MI and can be reached out via phone at 231-924-2120 and via fax at 231-924-6310.

Location: 26 E Main St, Fremont, MI, 49412-1244
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1871548610
Provider Name
Country Squire Discount Phcy Inc
Credential
Provider Entity Type
Organization
Address
26 E Main St, Fremont, MI, 49412-1244
Phone Number
231-924-2120
Fax Number
231-924-6310
Provider Enumeration Date
05/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2368264 01 NCPDP PROVIDER IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
26 E Main St
City
Fremont
State
Michigan
Zip
49412-1244
Phone Number
231-924-2120
Fax Number
231-924-6310
person
Provider Business Mailing Address Details
Address
26 E Main St
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
Pharmacy
Speciality
Long Term Care Pharmacy
Taxonomy
3336L0003X
License No.
53010008387 (Michigan)
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
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