Provider Demographics
NPI:1336233741
Name:YINGER PHARMACY SHOPPE INC
Entity Type:Organization
Organization Name:YINGER PHARMACY SHOPPE INC
Other - Org Name:YINGER PHARMACY SHOPPE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PIC
Authorized Official - Prefix:
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MILLS
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:734-384-7044
Mailing Address - Street 1:1036 N MONROE ST
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:MI
Mailing Address - Zip Code:48162-3113
Mailing Address - Country:US
Mailing Address - Phone:734-384-7044
Mailing Address - Fax:734-384-7066
Practice Address - Street 1:1036 N MONROE ST
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:MI
Practice Address - Zip Code:48162-3113
Practice Address - Country:US
Practice Address - Phone:734-384-7044
Practice Address - Fax:734-384-7066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2024-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336C0003X
MI53010075543336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2046103OtherPK
2046103OtherPK
4335150001Medicare NSC