COUNTRY SQUIRE PHARMACY
NPI 1700887148
Durable Medical Equipment & Medical Supplies in Fremont, MI

Active since August 09, 2005
30 E MAIN, FREMONT, MI 49412(231) 924-2120(231) 924-6310 Get Directions Write a Review

NPPES record last updated: July 16, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Country Squire Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COUNTRY SQUIRE PHARMACY (NPI 1700887148) is a healthcare organization registered as a durable medical equipment & medical supplies in Fremont, Michigan and active in the NPI registry since August 2005. The organization lists Judson K Afman, President, as its authorized official.

NPPES Registry Identity

NPI1700887148
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameTHE COUNTRY SQUIRE DISCOUNT PHARMACY, INC
Location Address30 E MAINFremont, MI 49412-1244
Mailing Address30 E MainFremont, MI 49412-1244 · (231) 924-2120 · Fax (231) 924-6310
Fax(231) 924-6310
Organization SubpartNo
Authorized OfficialJudson K AfmanPresident · (231) 924-2120
Enumeration DateAugust 9, 2005
Last NPPES UpdateJuly 16, 2008
NPI 1700887148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
License Licensed in MI · 5301001172
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
30 E MAIN, Fremont, MI 49412

Other Names 1

Doing Business AsCountry Squire Pharmacy

Other Identifiers 3

Medicare UPIN0751770001
Other540F210020MI · Bcbs Of Mi Dme
Medicaid87411545MI

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is The Country Squire Discount Pharmacy, Inc's NPI number?

The NPI number for The Country Squire Discount Pharmacy, Inc is 1700887148. It was assigned to this organization in the NPPES registry on August 9, 2005. The provider is doing business as Country Squire Pharmacy.

Where is The Country Squire Discount Pharmacy, Inc located?

The Country Squire Discount Pharmacy, Inc is located at 30 E Main, Fremont, MI 49412. The listed phone number is (231) 924-2120.

What is The Country Squire Discount Pharmacy, Inc's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for The Country Squire Discount Pharmacy, Inc was last updated on July 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.