Pamida Stores Operating Co LLC
Organization Active NPI Community/Retail Pharmacy · Calumet, MI
NPI 1699728253 · NPPES record last updated Nov 23, 2009
Key facts
- NPI
- 1699728253
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 5301008374 (MI)
- Legal business name
- PAMIDA STORES OPERATING CO LLC
- Practice address
- 5350 Station Dr
Calumet, MI 49913-1853 - Phone
- (906) 337-3597
- Fax
- (906) 337-3695
- NPI assigned
- May 17, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. John Harlow
- Title
- Ceo/President
- Phone
- (402) 596-7206
Member of 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | 5301008374 | MI | Yes |
Addresses
Primary practice location
5350 Station Dr
Calumet, MI 49913-1853
Mailing address
5350 Station Dr
Calumet, MI 49913-1853
Phone (906) 337-3597
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2354962 | Medicaid | MI | |
| 2354962 | Other | NCPDP NUMBER | |
| 3192487 | Medicaid | MI | |
| 4819167 | Medicaid | MI | |
| 4913857 | Medicaid | MI |
Other names
- Pamida Pharmacy 349
Other providers in Calumet, MI
- Mercy EMS, Inc.
- Donald W Mitchell
- MK Stores Inc
- Dawn M Neher
- Elizabeth Ann Oja
- Susan Louise Peterson
- Phoenix House Inc.
- Krista Lynn Pietila
- Bradley Pinet
- Portage Physician Practices Inc
All providers in Calumet, 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 Nov 23, 2009. 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.