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Contact Information

MESICK PHARMACY INC
112 MESICK AVE
MESICK, MI49668
 Phone: 231-885-1751
 Fax: 231-885-1998
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for MESICK PHARMACY INC

NPI Number 1285644997
LBN Legal business name MESICK PHARMACY INC
Authorized official WILLIAM RUNYON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/08/2006
Last updated 10/18/2016 - About 10 years ago
Identifiers
MI License # 5301003492
MI Medicaid 2328789
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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