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GLADSTONE PHARMACY INC. NPI 1003928003


NPI Information

NPI: 1003928003
Provider Name: GLADSTONE PHARMACY INC.

Doing Business As: GLADSTONE PHARMACY

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
20 S 10TH ST
GLADSTONE, MI
ZIP 49837
Phone: (906) 428-4240
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GLADSTONE PHARMACY INC. is a pharmacy in Gladstone, MI. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. GLADSTONE PHARMACY INC. NPI is 1003928003. The provider is registered as an organization entity type.
The provider Is Doing Business As Gladstone Pharmacy.

The provider's business location address is:

20 S 10TH ST
GLADSTONE, MI
ZIP 49837-526
Phone: (906) 428-4240
Fax: (906) 428-9416

The provider's authorized official is Walter Emling .
The authorized official title is Owner and has the following contact phone number (906) 428-4240.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacy5301006295MICHIGANYes
23336C0003XPharmacyCommunity/Retail PharmacyX

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12354784OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
23170630MEDICAIDMICHIGAN

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: 4/28/2024

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