Healthcare Provider Details
I. General information
NPI: 1750373502
Provider Name (Legal Business Name): SCHMIDT & SONS PHARMACY OF TECUMSEH, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/18/2005
Last Update Date: 06/12/2021
Certification Date: 06/12/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
120 E CHICAGO BLVD
TECUMSEH MI
49286-1587
US
IV. Provider business mailing address
120 E CHICAGO BLVD
TECUMSEH MI
49286-1587
US
V. Phone/Fax
- Phone: 517-423-3250
- Fax: 517-423-2022
- Phone: 517-423-3250
- Fax: 517-423-2022
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 333600000X |
| Taxonomy | Pharmacy |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336C0004X |
| Taxonomy | Compounding Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
HARVEY
E
SCHMIDT
Title or Position: PRESIDENT
Credential: RPH
Phone: 517-423-3250