COUNTRY SQUIRE LTC PHCY
NPI 1871548610
Pharmacy - Long Term Care Pharmacy in Fremont, MI

Q: What is Country Squire Discount Phcy Inc's NPI number?

The NPI number for Country Squire Discount Phcy Inc is 1871548610. It was assigned to this organization in the NPPES registry on May 23, 2006. The provider is doing business as Country Squire Ltc Phcy.

Q: What is Country Squire Discount Phcy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Active since May 23, 2006

26 E MAIN ST, STE B, FREMONT, MI 49412(231) 924-2120(231) 924-6310 Get Directions Write a Review

NPPES record last updated: September 15, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Country Squire Ltc Phcy NPPES

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

COUNTRY SQUIRE LTC PHCY (NPI 1871548610) is a healthcare organization registered as a long term care pharmacy in Fremont, Michigan and active in the NPI registry since May 2006. The organization lists Judson Afman, Member, as its authorized official.

NPPES Registry Identity

NPI1871548610

Entity TypeOrganization

Primary Taxonomy3336L0003X

Legal Business NameCOUNTRY SQUIRE DISCOUNT PHCY INC

Location Address26 E MAIN ST, STE BFremont, MI 49412-1244

Mailing Address26 E Main St, Ste BFremont, MI 49412-1244 · (231) 924-2120 · Fax (231) 924-6310

Phone(231) 924-2120

Fax(231) 924-6310

Organization SubpartNo

Authorized OfficialJudson AfmanMember · (231) 924-2120

Enumeration DateMay 23, 2006

Last NPPES UpdateSeptember 15, 2010

✔ NPI 1871548610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers

Taxonomy Code3336L0003X

License✔ Licensed in MI · 53010008387

Definition

A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

26 E MAIN ST, Fremont, MI 49412

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Other Names 1

Doing Business AsCountry Squire Ltc Phcy

Other Identifiers 2

Other2368264Ncpdp Provider Identification Number

Medicare NSC0751770001

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 Country Squire Discount Phcy Inc's NPI number?

The NPI number for Country Squire Discount Phcy Inc is 1871548610. It was assigned to this organization in the NPPES registry on May 23, 2006. The provider is doing business as Country Squire Ltc Phcy.

Where is Country Squire Discount Phcy Inc located?

Country Squire Discount Phcy Inc is located at 26 E Main St Ste B, Fremont, MI 49412. The listed phone number is (231) 924-2120.

What is Country Squire Discount Phcy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

When was this NPI record last updated?

The NPPES record for Country Squire Discount Phcy Inc was last updated on September 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.