1720588825 NPI number — ARFSTROM PHARMACIES, INC.

Table of content: (NPI 1720588825)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1720588825 NPI number — ARFSTROM PHARMACIES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ARFSTROM PHARMACIES, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1720588825
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/07/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
415 ASHMUN ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAULT SAINTE MARIE
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
49783-1905
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
906-632-9661
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
415 ASHMUN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAULT SAINTE MARIE
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
49783-1905
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
906-632-9661
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/15/2018

Additional Information

Authorized Official

Authorized Official Last Name:
MCMILLAN
Authorized Official First Name:
ANDREW
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT/OWNER (AO)
Authorized Official Telephone Number:
906-632-9661

Provider Taxonomy Codes

  • Taxonomy code: 3336L0003X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 5301001131 . This is a "STATE OF MICHIGAN PHARMACY LICENSE" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: NCPDP . This is a "2384357" identifier . This identifiers is of the category "OTHER".




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