Provider Demographics
NPI:1669415998
Name:NASH DRUGS INC
Entity type:Organization
Organization Name:NASH DRUGS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO COO
Authorized Official - Prefix:
Authorized Official - First Name:ANNETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:FROSCH
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:517-437-4497
Mailing Address - Street 1:208 W CARLETON RD
Mailing Address - Street 2:
Mailing Address - City:HILLSDALE
Mailing Address - State:MI
Mailing Address - Zip Code:49242-1050
Mailing Address - Country:US
Mailing Address - Phone:517-439-9325
Mailing Address - Fax:517-439-5832
Practice Address - Street 1:208 W CARLETON RD
Practice Address - Street 2:
Practice Address - City:HILLSDALE
Practice Address - State:MI
Practice Address - Zip Code:49242-1050
Practice Address - Country:US
Practice Address - Phone:517-439-9325
Practice Address - Fax:517-439-5832
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-14
Last Update Date:2017-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336C0004X
MI53010044033336C0003X, 3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2039478OtherPK
MI1737845Medicaid
1160710002Medicare NSC
MI1737845Medicaid