Healthcare Provider Details

I. General information

NPI: 1467555664
Provider Name (Legal Business Name): SCHMIDT & SONS PHARMACY OF DUNDEE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/06/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

256 TECUMSEH ST
DUNDEE MI
48131-1064
US

IV. Provider business mailing address

256 TECUMSEH ST
DUNDEE MI
48131-1064
US

V. Phone/Fax

Practice location:
  • Phone: 734-529-8288
  • Fax: 734-529-7887
Mailing address:
  • Phone: 734-529-8288
  • Fax: 734-529-7887

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number5301007469
License Number StateMI

VIII. Authorized Official

Name: MR. HARVEY SCHMIDT
Title or Position: PHARMACIST
Credential: RPH
Phone: 734-529-8288