Provider Demographics
NPI:1265474605
Name:ARFSTROM PHARMACIES, INC.
Entity Type:Organization
Organization Name:ARFSTROM PHARMACIES, INC.
Other - Org Name:ARFSTROM MEDICAL EQUIPMENT & SUPPLIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER,PRESIDENT/TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:MCMILLAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:906-632-9661
Mailing Address - Street 1:415 ASHMUN STREET
Mailing Address - Street 2:
Mailing Address - City:SAULT STE MARIE
Mailing Address - State:MI
Mailing Address - Zip Code:49783
Mailing Address - Country:US
Mailing Address - Phone:906-632-9661
Mailing Address - Fax:906-632-2959
Practice Address - Street 1:409 ASHMUN ST
Practice Address - Street 2:
Practice Address - City:SAULT SAINTE MARIE
Practice Address - State:MI
Practice Address - Zip Code:49783-1935
Practice Address - Country:US
Practice Address - Phone:906-632-1923
Practice Address - Fax:906-632-2959
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ARFSTROM PHARMACIES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-06-11
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5306004913332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1265474605Medicaid
MI540A705100OtherBCBSM DME
MI1699163Medicaid
MI1265474605Medicaid
MI1265474605Medicaid