Bormans INC
Pharmacy, Community/Retail Pharmacy in Warren, MI. Organization (NPI-2).
NPI number1104841758
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1104841758
- Entity type
- Organization (NPI-2)
- Legal business name
- Bormans INC
- Organization subpart
- No
- Enumeration date
- Jul 13, 2006
- Last updated
- Sep 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
| 333600000X | Pharmacy | 5301004539 | MI |
Other names
- Farmer Jack Pharmacy (Doing Business As)
Practice location
14601 E 12 Mile RdWarren, MI 48088-3874
Phone 586-774-4780 · Fax 586-774-6842
Mailing address
14601 E 12 Mile RdWarren, MI 48088-3874
Authorized official
Susan Kijowski
Pharmacy Specialist
2015718326
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