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STATE STREET PHARMACY & WELLNESS CENTER INC NPI 1124137740


NPI Information

NPI: 1124137740
Provider Name: STATE STREET PHARMACY & WELLNESS CENTER INC
Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
192 N STATE ST
CARO, MI
ZIP 48723
Phone: (989) 672-3500
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STATE STREET PHARMACY & WELLNESS CENTER INC is a community/retail pharmacy pharmacy in Caro, MI. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. STATE STREET PHARMACY & WELLNESS CENTER INC NPI is 1124137740. The provider is registered as an organization entity type.

The provider's business location address is:

192 N STATE ST
CARO, MI
ZIP 48723-550
Phone: (989) 672-3500
Fax: (989) 672-3555

The provider's authorized official is Adam Zovishlack .
The authorized official title is President and has the following contact phone number (989) 672-3500.

The enumeration date for this NPI number is 8/29/2006 and was last updated on 3/8/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail Pharmacy5301007028MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12360131OTHERMICHIGANNCPDP NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.