Healthcare Provider Details

I. General information

NPI: 1144217936
Provider Name (Legal Business Name): NASH DRUGS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2005
Last Update Date: 10/26/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 N HOWELL ST
HILLSDALE MI
49242-1621
US

IV. Provider business mailing address

30 N HOWELL ST
HILLSDALE MI
49242-1621
US

V. Phone/Fax

Practice location:
  • Phone: 517-437-4497
  • Fax: 517-437-5526
Mailing address:
  • Phone: 517-437-4497
  • Fax: 517-437-5526

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number5301001137
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: ANNETTE FROSCH
Title or Position: CEO COO
Credential: RPH
Phone: 517-437-4497