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Contact Information

HARVEST PHARMACY INC
9900 EAST M-21
SUITE 103
OVID, MI48866
 Phone: 989-862-4858
 Fax: 989-862-5355
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for HARVEST PHARMACY INC

NPI # 1215026737
LBN Legal business name HARVEST PHARMACY INC
Authorized official DENNIS REPPENHAGEN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/12/2006
Last updated 06/16/2016 - About 10 years ago
Identifiers
MI License # 5301007366
MI Medicaid BH7290428
Other 2040489 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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