# MK STORES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MK Stores, LT Pharmacare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013924323
- **Authorized official:** MICHAEL C RUSSELL (PHARMACIST IN CHARGE)
- **Authorized official phone:** (906) 485-5592

## Contact information

- **Practice address:** 380 US HIGHWAY 41 EAST, NEGAUNEE, MI 49866
- **Practice address phone:** (906) 475-4424
- **Practice address fax:** (906) 475-4616
- **Mailing address:** 380 US HIGHWAY 41 EAST, NEGAUNEE, MI 49866
- **Mailing address phone:** (906) 475-4424
- **Mailing address fax:** (906) 475-4616

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 5301006635 | MI | Yes |

## Other

- **Enumeration date:** 08/01/2006
- **Last updated:** 04/10/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2357386 | NABP NUMBER | MI |