S. Fountain's INC
NPI #1477520377 in East Tawas, Michigan
Provider Information
- NPI Number
- 1477520377
- Entity Type
- Organization
- Organization Name
- S. Fountain's INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Mar 1, 2006
- Last Updated
- Mar 7, 2023
Practice Location
- Address
- 133 NEWMAN ST
- City
- East Tawas
- State
- Michigan
- ZIP Code
- 48730
- Phone
- (989) 362-7415
Authorized Official
- Name
- MR. STEVEN MARK FOUNTAIN, R.PH.
- Title
- OWNER/PRES
- Phone
- (989) 362-7415
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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