State Street Pharmacy Ltc
NPI #1588422158 in Caro, Michigan
Provider Information
- NPI Number
- 1588422158
- Entity Type
- Organization
- Organization Name
- State Street Pharmacy Ltc
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- STATE STREET PHARMACY AND WELLNESS CENTER INC
- Primary Specialty
- Pharmacy - Long Term Care Pharmacy
- Enumeration Date
- Mar 8, 2024
- Last Updated
- Mar 8, 2024
Practice Location
Authorized Official
- Name
- ADAM ZOVISHLACK
- Title
- PRESIDENT/OWNER
- Phone
- (989) 672-3500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
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