Provider Demographics
NPI:1457346611
Name:SCHMIDT & SONS PHARMACY OF BLISSFIELD LLC
Entity Type:Organization
Organization Name:SCHMIDT & SONS PHARMACY OF BLISSFIELD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HARVEY
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHMIDT
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:517-486-2145
Mailing Address - Street 1:177 W BROOKE LN
Mailing Address - Street 2:
Mailing Address - City:BLISSFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:49228-8601
Mailing Address - Country:US
Mailing Address - Phone:517-486-2145
Mailing Address - Fax:517-486-2456
Practice Address - Street 1:177 W BROOKE LN
Practice Address - Street 2:
Practice Address - City:BLISSFIELD
Practice Address - State:MI
Practice Address - Zip Code:49228-8601
Practice Address - Country:US
Practice Address - Phone:517-486-2145
Practice Address - Fax:517-486-2456
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-14
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 332BX2000X
MI53010080823336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI540D61072OtherBLUECROSS
2349012OtherNCPDP
MI874783645Medicaid
MI874783645Medicaid
BS9067706OtherDEA