S. Fountain'S Inc
Organization Active NPI Community/Retail Pharmacy · East Tawas, MI
NPI 1477520377 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1477520377
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- S. FOUNTAIN'S INC
- Practice address
- 133 Newman St
East Tawas, MI 48730 - Phone
- (989) 362-7415
- Fax
- (989) 362-0597
- NPI assigned
- Mar 1, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Steven Mark Fountain, R.PH.
- Title
- Owner/Pres
- Phone
- (989) 362-7415
National Provider Directory
Locations
133 Newman St
East Tawas, MI 48730
Phone (989) 362-7415
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | MI | Yes |
Addresses
Primary practice location
133 Newman St
East Tawas, MI 48730
Mailing address
133 Newman St
East Tawas, MI 48730
Phone (989) 362-7415
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2803829 | Medicaid | MI | |
| 2803794 | Medicaid | MI | |
| 2349517 | Other | MI | NABP |
Other names
- dba The Medicine Shoppe #1189
Other providers in East Tawas, MI
- Richard P. Payea, M.D., PC
- Gretchen M Ross
- Gloria Jean Rouleau-Gerber
- Crystal Angela Ruemenapp
- Kristen Lois Runyan
- Kelly Sanderson
- Sarah Lynn Schalkofski
- Grace E Schlagel
- Julienne Schnettler
- Kayla Marie Schwiesow
All providers in East Tawas, MI · Community/Retail Pharmacy in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.