Healthcare Provider Details

I. General information

NPI: 1457815151
Provider Name (Legal Business Name): APOTHECARY & CO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2019
Last Update Date: 01/27/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51 S WASHINGTON ST STE D
OXFORD MI
48371-6418
US

IV. Provider business mailing address

51 S WASHINGTON ST STE D
OXFORD MI
48371-6418
US

V. Phone/Fax

Practice location:
  • Phone: 248-572-6404
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: HILLARY HOWELL
Title or Position: OWNER
Credential: PHARMD
Phone: 810-614-3172