Organization · NPI-2

Bormans INC

Pharmacy, Community/Retail Pharmacy · Livonia, MI

NPI number1295750859
StatusActive
Last updated in NPPESSep 11, 2025

Details

NPI
1295750859
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 codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail Pharmacy––Yes
333600000X Pharmacy5301004563MI

Other names

  • Farmer Jack Pharmacy (Doing Business As)

Practice location

37685 5 Mile Rd
Livonia, MI 48154-1543

Phone 734-464-7688 · Fax 734-464-1758

Mailing address

37685 5 Mile Rd
Livonia, MI 48154-1543

Authorized official

Susan Kijowski
Pharmacy Specialist
2015718326

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