M K Stores INC
Pharmacy, Community/Retail Pharmacy in Ishpeming, MI. Organization (NPI-2).
NPI number1609881069
StatusActive
Last updated in NPPESApr 10, 2024
Details
- NPI
- 1609881069
- Entity type
- Organization (NPI-2)
- Legal business name
- M K Stores INC
- Organization subpart
- No
- Enumeration date
- Jul 31, 2006
- Certification date
- Apr 10, 2024
- Last updated
- Apr 10, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 5301003373 | MI | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 5301003373 | MI |
Other names
- Snyder Pharmacy (Doing Business As)
Practice location
1330 Us Highway 41 WIshpeming, MI 49849-3152
Phone 906-485-5592 · Fax 906-485-4482
Mailing address
1330 Us Highway 41 WIshpeming, MI 49849-3152
Phone 906-485-5592 · Fax 906-485-4482
Authorized official
Michael C Russell
Head Of Pharmacy
9064855592
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