# MEDICINE MART INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gull Pointe Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093291692
- **Authorized official:** MICHAEL DABAJA (PRESIDENT)
- **Authorized official phone:** (269) 553-5000

## Contact information

- **Practice address:** 5585 GULL RD STE 120, KALAMAZOO, MI 49048-6704
- **Practice address phone:** (269) 553-5000
- **Practice address fax:** (269) 553-0555
- **Mailing address:** PO BOX 22, NAZARETH, MI 49074-0022

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 07/17/2018
- **Last updated:** 07/17/2018