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NPI Code Detail

MEDICARE: MAPLECREST FAMILY PHARMACY, INC

MEDICARE: MAPLECREST FAMILY PHARMACY, INC
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
13336C0003XCommunity/Retail Pharmacy5301008084MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12366816OTHERMINCPDP

General Provider Information

NPI Number : 1316977093
Entity Type Code : Organization
Provider Name (Legal Business Name) : MAPLECREST FAMILY PHARMACY, INC
Provider Business Mailing Address
First Line : 1533 EAST CHICAGO RD
Second Line :
City : STURGIS
State : MI
Zip : 49091
Country : US
Telephone Number : 269-659-4600
Fax Number : 269-639-3608
Provider Business Practice Location Address
First Line : 1533 EAST CHICAGO RD
Second Line :
City : STURGIS
State : MI
Zip : 49091
Country : US
Telephone Number : 269-659-4600
Fax Number : 269-639-3608
Authorized Official
Title or Position : PRESIDENT
Name : MR. LAWRENCE DEAN CURTIS
Credential : R.PH.
Telephone Number : 269-659-4600
Provider Enumeration Date : 07/05/2006
Last Update Date : 08/22/2020

Similar Medicare Providers

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Practice Location Address:
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Practice Fax:
1144223942 — DR. CHRISTOPHER W BUSSEMA DPM
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1972506558 — FREDERICK WISEMAN DPM
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1235137993 — DR. ARSENIO TENORIO PARIAL M.D.
Practice Location Address:
600 S LAKEVIEW AVE , SUITE 102
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Practice Fax:
1619976271 — DR. YAZDI N AMARIA M.D.
Practice Location Address:
111 S MONROE ST
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1275534570 — MRS. CAROL LYNN SHARP R.N. / OGNP
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1821099367 — DARREN LEE MEYER OD
Practice Location Address:
26289 W CHICAGO RD
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Practice Fax: 269-651-4154

Directions to “MAPLECREST FAMILY PHARMACY, INC ” Practice Location

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