HOLLAND PHARMACY LLC
700 Michigan Ave
Holland, MI 49423
616-392-8507
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 332B00000X | Suppliers - Durable Medical Equipment & Medical Supplies - | ||
N | 3336C0004X | Suppliers - Pharmacy | ||
Y | 3336C0003X | Suppliers - Pharmacy | MI | 5301005911 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
2351714 | MI | MEDICAID | |
NCPDP PROVIDER IDENTIFICATION NUMBER | 2351714 | OTHER |