OrganizationActive
Country Squire Discount Phcy Inc
NPI 1871548610 · Long Term Care Pharmacy · Fremont, MI
Provider details
- NPI number
- 1871548610
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Judson Afman, Member(231) 924-2120
- License
- 53010008387 (MI)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
26 E Main St
Ste B
Fremont, MI 49412-1244
Phone: (231) 924-2120
Fax: (231) 924-6310
Street-level locationGet directions
Mailing address
26 E Main St
Fremont, MI 49412-1244
Other names (DBA / former)
- Doing business as
- Country Squire Ltc Phcy
Registry dates
- Enumerated
- 2006-05-23
- Last updated
- 2010-09-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.