1902914377 PONTIAC TRAIL PHARMACY INC

Community/Retail Pharmacy

Active

Basic Information

Organization Name
PONTIAC TRAIL PHARMACY INC
Enumeration Date
August 27, 2006
Last Update
August 1, 2017
Authorized Official
MR. CARL ROBERT HENDRICKS R.PH
OWNER/R.PH.
Phone: (248) 669-2776

Practice Location

Address
620 N. PONTIAC TRAIL
WALLED LAKE, MI 48390
Phone
(248) 669-2776
Fax
(248) 669-2835

Mailing Address

Address
43155 W. NINE MILE RD.
NOVI, MI 483768026
Phone
N/A

Specialties & Taxonomies

Specialty Code Classification License State Primary
Long Term Care Pharmacy
Long Term Care Pharmacy
3336L0003X Pharmacy N/A N/A No
Health Service Clinic/Center
Health Service
261QH0100X Clinic/Center N/A N/A No
Durable Medical Equipment & Medical Supplies
332B00000X Durable Medical Equipment & Medical Supplies N/A N/A No
Community/Retail Pharmacy
Community/Retail Pharmacy
3336C0003X Pharmacy 5301004197 MI Primary

Other Identifiers

Identifier Type State Issuer
2338689 05 MI N/A
1665835 05 MI N/A
1649484 05 MI N/A
2338689 01 N/A OTHER ID NUMBER

Frequently Asked Questions

What is PONTIAC TRAIL PHARMACY INC's NPI number?
PONTIAC TRAIL PHARMACY INC's NPI number is 1902914377.
Which doctor has NPI number 1902914377?
The doctor with NPI number 1902914377 is PONTIAC TRAIL PHARMACY INC.
What is PONTIAC TRAIL PHARMACY INC's practice address?
PONTIAC TRAIL PHARMACY INC's practice address is 620 N. PONTIAC TRAIL, WALLED LAKE, MI, 48390.
Which doctor practices at 620 N. PONTIAC TRAIL, WALLED LAKE, MI, 48390?
PONTIAC TRAIL PHARMACY INC practices at 620 N. PONTIAC TRAIL, WALLED LAKE, MI, 48390.
What is PONTIAC TRAIL PHARMACY INC's mailing address?
PONTIAC TRAIL PHARMACY INC's mailing address is 43155 W. NINE MILE RD., NOVI, MI, 483768026.
What is PONTIAC TRAIL PHARMACY INC's phone number?
PONTIAC TRAIL PHARMACY INC's phone number is (248) 669-2776.
Who is (248) 669-2776?
(248) 669-2776 is the phone number for PONTIAC TRAIL PHARMACY INC.
What is PONTIAC TRAIL PHARMACY INC's specialty?
PONTIAC TRAIL PHARMACY INC's specialty is Community/Retail Pharmacy.
What type of doctor is PONTIAC TRAIL PHARMACY INC?
PONTIAC TRAIL PHARMACY INC is a Community/Retail Pharmacy.
Is PONTIAC TRAIL PHARMACY INC a Community/Retail Pharmacy?
Yes, PONTIAC TRAIL PHARMACY INC is a Community/Retail Pharmacy.
Is PONTIAC TRAIL PHARMACY INC still practicing?
Yes, PONTIAC TRAIL PHARMACY INC is currently practicing.
Is PONTIAC TRAIL PHARMACY INC accepting new patients?
PONTIAC TRAIL PHARMACY INC may be accepting new patients. Please call their office at (248) 669-2776 to inquire about availability.
Is NPI 1902914377 still active?
Yes, NPI 1902914377 is currently active.
Where does PONTIAC TRAIL PHARMACY INC practice?
PONTIAC TRAIL PHARMACY INC practices in WALLED LAKE, MI.