Healthcare Provider Details

I. General information

NPI: 1932210358
Provider Name (Legal Business Name): A&R CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 N ROLAND ST 106 ROLAND
MC BAIN MI
49657-9683
US

IV. Provider business mailing address

106 N ROLAND ST PO BOX 55
MC BAIN MI
49657-9683
US

V. Phone/Fax

Practice location:
  • Phone: 231-825-2457
  • Fax: 231-825-8346
Mailing address:
  • Phone: 231-825-2457
  • Fax: 231-825-8346

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number3336C0003X
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number3336L0003X
License Number StateMI

VIII. Authorized Official

Name: MR. THOMAS LEE ANDERSON
Title or Position: PHARMACIST
Credential: RPH
Phone: 231-825-2457