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CENTRAL PHARMACY-MATTAWAN LLC

Medical Equipment Supplier Yellow Pages

Mattawan, Michigan

Provider NPI: 1356571988

Organization Information:
Organization Name:  CENTRAL PHARMACY-MATTAWAN LLC


Practice Location:
56109 VILLAGE CENTER CIR  MATTAWAN, MI 49071 US
Tel: 269-668-6801  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y3336C0003XSuppliers
Pharmacy
Community/Retail Pharmacy
MI5301009144

Other Provider Identifiers:

IssuerNumberStateType
PK212100901
2372972MI05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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