Provider Demographics
NPI:1750373502
Name:SCHMIDT & SONS PHARMACY OF TECUMSEH, INC
Entity type:Organization
Organization Name:SCHMIDT & SONS PHARMACY OF TECUMSEH, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HARVEY
Authorized Official - Middle Name:E
Authorized Official - Last Name:SCHMIDT
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:517-423-3250
Mailing Address - Street 1:120 E CHICAGO BLVD
Mailing Address - Street 2:
Mailing Address - City:TECUMSEH
Mailing Address - State:MI
Mailing Address - Zip Code:49286-1587
Mailing Address - Country:US
Mailing Address - Phone:517-423-3250
Mailing Address - Fax:517-423-2022
Practice Address - Street 1:120 E CHICAGO BLVD
Practice Address - Street 2:
Practice Address - City:TECUMSEH
Practice Address - State:MI
Practice Address - Zip Code:49286-1587
Practice Address - Country:US
Practice Address - Phone:517-423-3250
Practice Address - Fax:517-423-2022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-18
Last Update Date:2021-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1578669Medicaid
MI54OD60514OtherBCBSM
MI4365410001Medicare NSC