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Contact Information

PMC PHARMACY INC
1241 W BROADWAY ST
THREE RIVERS, MI49093-8319
 Phone: 269-279-5722
 Fax: 269-279-1473
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for PMC PHARMACY INC

NPI Number 1861441768
LBN Legal business name PMC PHARMACY INC
Authorized official JEAN DEMRO - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/08/2006
Last updated 03/31/2009 - About 17 years ago
Identifiers
MI License # 5301004500
MI Medicaid 1620145
Other 2338019 NCPDP PROVIDER IDENTIFICATION NUMBER
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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