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PAMIDA STORES OPERATING CO LLC NPI 1699728212


NPI Information

NPI: 1699728212
Provider Name: PAMIDA STORES OPERATING CO LLC

Doing Business As: PAMIDA PHARMACY 304

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
491 US HIGHWAY 41 W
ISHPEMING, MI
ZIP 49849
Phone: (906) 486-4403
Get Directions

PAMIDA STORES OPERATING CO LLC is a community/retail pharmacy pharmacy in Ishpeming, 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. PAMIDA STORES OPERATING CO LLC NPI is 1699728212. The provider is registered as an organization entity type.
The provider Is Doing Business As Pamida Pharmacy 304.

The provider's business location address is:

491 US HIGHWAY 41 W
ISHPEMING, MI
ZIP 49849-400
Phone: (906) 486-4403
Fax: (906) 486-4404

The provider's authorized official is John Harlow .
The authorized official title is Ceo/president and has the following contact phone number (402) 596-7206.

The enumeration date for this NPI number is 5/17/2006 and was last updated on 11/23/2009.


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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0003XPharmacyCommunity/Retail Pharmacy5301008379MICHIGANYes

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
12344454OTHERNCPDP NUMBER
25694490051MEDICARE ID-TYPE UNSPECIFIED
31972961MEDICAIDMICHIGAN
44913463MEDICAIDMICHIGAN
52344454MEDICAIDMICHIGAN
60459230029MEDICARE ID-TYPE UNSPECIFIED
74819185MEDICAIDMICHIGAN

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

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