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S. FOUNTAIN'S INC NPI 1477520377


NPI Information

NPI: 1477520377
Provider Name: S. FOUNTAIN'S INC

Doing Business As: DBA THE MEDICINE SHOPPE #1189

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
133 NEWMAN ST
EAST TAWAS, MI
ZIP 48730
Phone: (989) 362-7415
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S. FOUNTAIN'S INC is a community/retail pharmacy pharmacy in East Tawas, 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. S. FOUNTAIN'S INC NPI is 1477520377. The provider is registered as an organization entity type.
The provider Is Doing Business As Dba The Medicine Shoppe #1189.

The provider's business location address is:

133 NEWMAN ST
EAST TAWAS, MI
ZIP 48730
Phone: (989) 362-7415
Fax: (989) 362-0597

The provider's authorized official is Steven Mark Fountain .
The authorized official title is Owner/pres and has the following contact phone number (989) 362-7415.

The enumeration date for this NPI number is 3/1/2006 and was last updated on 10/6/2015.


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
13336C0003XPharmacyCommunity/Retail PharmacyMICHIGANYes

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
12803829MEDICAIDMICHIGAN
20745450001MEDICARE NSCMICHIGAN
3BT3035056OTHERMICHIGANDEA #
42803794MEDICAIDMICHIGAN
50745450001MEDICARE UPIN
60P58770MEDICARE PINMICHIGAN
72349517OTHERMICHIGANNABP

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: 11/14/2023

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