Country Squire Discount Phcy INC

NPI #1871548610 in Fremont, Michigan

Provider Information

NPI Number
1871548610
Entity Type
Organization
Organization Name
Country Squire Discount Phcy INC
Primary Specialty
Pharmacy - Long Term Care Pharmacy
Enumeration Date
May 23, 2006
Last Updated
Sep 15, 2010

Practice Location

Address
26 E MAIN ST
Address 2
STE B
ZIP Code
49412-1244
Phone
(231) 924-2120

Authorized Official

Name
JUDSON AFMAN, RPH
Title
MEMBER
Phone
(231) 924-2120

Specialties & Taxonomy Codes

Specialty
Pharmacy - Long Term Care PharmacyLong Term Care Pharmacy

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