M K Stores INC

NPI #1982611331 in Ishpeming, Michigan

Provider Information

NPI Number
1982611331
Entity Type
Organization
Organization Name
M K Stores INC
Subpart
Yes (part of a larger organization)
Parent Organization
MK STORES INC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Aug 1, 2006
Last Updated
Apr 10, 2024

Practice Location

Address
110 S MAIN ST
ZIP Code
49849-1820
Phone
(906) 486-4405

Authorized Official

Name
MICHAEL C RUSSELL
Title
HEAD OF PHARMACY
Phone
(906) 485-5592

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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