Home » Michigan » 48850 » Countryside Drug Company Ii

Countryside Drug Company Ii

Countryside Drug Company Ii is a health care provider in Lakeview, MI. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 9695 N Greenville Rd, Lakeview, MI 48850-9107, US
Practice Location Phone989-352-8168
Practice Location Fax989-352-6253
Legal Business NameCOUNTRYSIDE DRUG COMPANY II
Other Organization NameCOUNTRYSIDE PHARMACY
Other Organization Name TypeDoing Business As Name
NPI ?1407925282
Entity TypeOrganization
Enumeration Date ? Nov 7, 2006
Last Update Date ? Oct 16, 2017
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Countryside Drug Company Ii

SpecialtySpecializationLicenseLicense State
Pharmacy
PharmacyCommunity/Retail Pharmacy 5301004423Michigan

legacy-id-icon Legacy Provider IDs of Countryside Drug Company Ii

Provider IdIssuer StateIssuer TypeIssuer
2039499OtherPK
1756241MichiganMedicaid

official-icon Authorized Official of Countryside Drug Company Ii

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Countryside Drug Company Ii's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Susan L Stratton
Authorized Official Title/PositionCFO
Authorized Official Phone Number989-352-8168