Provider Demographics
NPI:1770068751
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:L
Authorized Official - Last Name:FROSCH
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:517-437-4497
Mailing Address - Street 1:30 N HOWELL ST
Mailing Address - Street 2:
Mailing Address - City:HILLSDALE
Mailing Address - State:MI
Mailing Address - Zip Code:49242-1600
Mailing Address - Country:US
Mailing Address - Phone:517-437-4088
Mailing Address - Fax:517-437-4988
Practice Address - Street 1:30 N HOWELL ST
Practice Address - Street 2:
Practice Address - City:HILLSDALE
Practice Address - State:MI
Practice Address - Zip Code:49242-1600
Practice Address - Country:US
Practice Address - Phone:517-437-4497
Practice Address - Fax:517-437-5526
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NASH DRUGS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-09-26
Last Update Date:2019-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI2543407Medicaid