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Active NPI 1285644997 Organization (Entity Type 2)

Mesick Pharmacy Inc

Pharmacy - Community/Retail Pharmacy • Mesick, MI

About Mesick Pharmacy Inc NPI 1285644997 Summary

Mesick Pharmacy Inc is a verified healthcare organization specializing in Pharmacy - Community/Retail Pharmacy operating in Mesick, MI. Located at 112 MESICK AVE, this facility provides patient care and medical services under National Provider Identifier (NPI) 1285644997.

Administrative operations and authorized compliance are overseen by William Runyon (Owner).

Facility Location & Contact Primary Location

Facility Address

112 Mesick Ave

Mesick, MI 49668

Telephone 2318851751
Fax 2318851998

Authorized Official Information

Authorized Contact Name

MR. William Runyon , RPH

Title / Role

Owner

Official Telephone

2317755073

Facility Classifications & Specialties

Pharmacy - Community/Retail Pharmacy Primary Taxonomy

NUCC Taxonomy Code: 3336C0003X

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.

Pharmacy

NUCC Taxonomy Code: 333600000X

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.

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active October 18, 2016

NPI status registered as active in NPPES database

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Updated Practice Location October 18, 2016

Registered at 112 MESICK AVE, MESICK, MI 49668 (Tel: 2318851751)

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Updated Business Mailing Address October 18, 2016

Registered at PO BOX 8, 112 MESICK AVE, MESICK, MI 49668 (Tel: 2318851751)

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Organization / Clinic Name Updated October 18, 2016

Operating as MESICK PHARMACY INC

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 18, 2016

Pharmacy (License #5301003492 in MI)

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Initial NPI Registration & Enumeration August 08, 2006

First registered as active Healthcare Organization in NPPES Database.

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NPI Organization Metadata

NPI Number: 1285644997
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: August 08, 2006
Last Update: October 18, 2016

Mailing Address

Po Box 8, 112 Mesick Ave

Mesick, MI 49668

Phone: 2318851751

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.