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NPI Code Detail

MEDICARE: BORDEN S FAMILY PHARMACY LLC

MEDICARE: BORDEN S FAMILY PHARMACY LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336L0003XLong Term Care Pharmacy

General Provider Information

NPI Number : 1033085220
Entity Type Code : Organization
Provider Name (Legal Business Name) : BORDEN S FAMILY PHARMACY LLC
Provider Business Mailing Address
First Line : 415 W VIENNA ST
Second Line :
City : CLIO
State : MI
Zip : 48420-1307
Country : US
Telephone Number : 810-547-1278
Fax Number : 810-547-1542
Provider Business Practice Location Address
First Line : 415 W VIENNA ST
Second Line :
City : CLIO
State : MI
Zip : 48420-1307
Country : US
Telephone Number : 810-547-1278
Fax Number : 810-547-1542
Authorized Official
Title or Position : OWNER/PIC
Name : DR. KYLE V BROTHERTON
Credential : PHARMD.
Telephone Number : 810-547-1278
Provider Enumeration Date : 10/14/2025
Last Update Date : 10/14/2025

Similar Medicare Providers

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Directions to “BORDEN S FAMILY PHARMACY LLC ” Practice Location

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