Provider Demographics
NPI:1619053873
Name:ARFSTROM PHARMACIES INC
Entity Type:Organization
Organization Name:ARFSTROM PHARMACIES INC
Other - Org Name:ARFSTROM PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER,PRESIDENT, AO
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:PO BOX 398
Mailing Address - Street 2:
Mailing Address - City:CEDARVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:49719-0398
Mailing Address - Country:US
Mailing Address - Phone:906-484-3355
Mailing Address - Fax:906-484-2109
Practice Address - Street 1:4 E M 134
Practice Address - Street 2:
Practice Address - City:CEDARVILLE
Practice Address - State:MI
Practice Address - Zip Code:49719-9417
Practice Address - Country:US
Practice Address - Phone:906-484-3355
Practice Address - Fax:906-484-2109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-31
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336C0004X
MI53010047373336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI2342981Medicaid
2040189OtherPK