CFCC Specialty Pharmacy LLC

Pharmacy · Traverse City, MI

Organization Active NPI

NPI number 1629520150

Practice location

217 S Madison St
Suite 1021 a and B
Traverse City, MI 49684-2321
Phone
(231) 392-8540

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NPI record

NPI
1629520150
Entity type
Organization (Type 2)
Enumeration date
November 1, 2016
Last updated
November 23, 2016
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacy Primary 333600000X 5301011031 MI
Community/Retail Pharmacy 3336C0003X — —

Mailing address

217 S. Madison
Suite 1021 a & B
Traverse City, MI 49684
Phone
(231) 392-8540

Authorized official

Name
Paul Kociemba
Title
Pharmacy Manager
Phone
(231) 935-5682

Other names

  • CFCC Specialty Pharmacy

About CFCC Specialty Pharmacy LLC

CFCC Specialty Pharmacy LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Pharmacy (code 333600000X). The practice location is 217 S Madison St, Suite 1021 a and B, Traverse City, MI 49684-2321. The NPI number 1629520150 was assigned on November 1, 2016 and the record was last updated on November 23, 2016.

CFCC Specialty Pharmacy LLC lists a license in the registry: #5301011031 (MI) for Pharmacy. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Paul Kociemba, Pharmacy Manager.

Frequently asked questions

What is the NPI number of CFCC Specialty Pharmacy LLC?

The NPI number is 1629520150.

What is the phone number of CFCC Specialty Pharmacy LLC?

The phone number listed for the practice location is (231) 392-8540.

Where is CFCC Specialty Pharmacy LLC located?

217 S Madison St, Suite 1021 a and B, Traverse City, MI 49684-2321.

What is the taxonomy code for CFCC Specialty Pharmacy LLC?

The primary taxonomy code is 333600000X – Pharmacy; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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