Provider Demographics
NPI:1528953411
Name:APOTHECARE LLC
Entity type:Organization
Organization Name:APOTHECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LACEY
Authorized Official - Middle Name:
Authorized Official - Last Name:GILDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-845-5104
Mailing Address - Street 1:500 N JAMES ST
Mailing Address - Street 2:
Mailing Address - City:GRAYLING
Mailing Address - State:MI
Mailing Address - Zip Code:49738-1714
Mailing Address - Country:US
Mailing Address - Phone:989-348-2000
Mailing Address - Fax:
Practice Address - Street 1:500 N JAMES ST
Practice Address - Street 2:
Practice Address - City:GRAYLING
Practice Address - State:MI
Practice Address - Zip Code:49738-1714
Practice Address - Country:US
Practice Address - Phone:989-348-2000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-11
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy