Provider Information for 1588052492
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HASTINGS PHARMACY
Organization Subpart: NO
NPI: 1588052492
Last Updated: 2022-04-20
Certification Date: 2022-04-20
Certification Date: 2022-04-20
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1588052492 | ||||||||
| Enumeration Date | 2014-12-30 | ||||||||
| NPI Type | NPI-2 Organization | ||||||||
| Status | Active | ||||||||
| Authorized Official Information | Name: RUSS BOBLET R.Ph. Title: partner Phone: 2694202990 | ||||||||
| Mailing Address | 400 W STATE ST P.O. BOX 722 HASTINGS, MI 49058-1640 United States Phone: 269-945-3777 | Fax:269-945-3065 | ||||||||
| Primary Practice Address | 400 W STATE ST HASTINGS, MI 49058-1640 United States Phone: 269-945-3777 | Fax:269-945-3065 | ||||||||
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