Country Squire Discount Pharmacy, INC

NPI #1265445936 in Fremont, Michigan

Provider Information

NPI Number
1265445936
Entity Type
Organization
Organization Name
Country Squire Discount Pharmacy, INC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Aug 14, 2006
Last Updated
Jul 28, 2014

Practice Location

Address
30 E MAIN ST
ZIP Code
49412-1244
Phone
(231) 924-2120

Authorized Official

Name
JUDSON AFMAN
Title
PRESIDENT
Phone
(231) 924-2120

Specialties & Taxonomy Codes

Specialty
Pharmacy
Pharmacy - Long Term Care PharmacyLong Term Care Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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