Provider Demographics
NPI:1528692464
Name:HARBOR DRUG INC
Entity type:Organization
Organization Name:HARBOR DRUG INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:DELPIERE
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:989-315-8605
Mailing Address - Street 1:114 S HURON AVE
Mailing Address - Street 2:
Mailing Address - City:HARBOR BEACH
Mailing Address - State:MI
Mailing Address - Zip Code:48441-1201
Mailing Address - Country:US
Mailing Address - Phone:989-315-8605
Mailing Address - Fax:989-479-3242
Practice Address - Street 1:2031 E MAIN ST
Practice Address - Street 2:
Practice Address - City:UBLY
Practice Address - State:MI
Practice Address - Zip Code:48475-9726
Practice Address - Country:US
Practice Address - Phone:989-315-8605
Practice Address - Fax:989-479-3242
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-01
Last Update Date:2020-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy