S. FOUNTAIN'S INC
133 Newman St
East Tawas, MI 48730
989-362-7415
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336C0003X | Suppliers - Pharmacy - Community/Retail Pharmacy | MI |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
NABP | 2349517 | MI | OTHER |
2803794 | MI | MEDICAID | |
2803829 | MI | MEDICAID | |
DEA # | BT3035056 | MI | OTHER |