Organization
MEDICINE MART INC.
Active
Other names
Gull Pointe Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL M DABAJA (VICE PRESIDENT)
(269) 553-5000
Entity
Organization
Contact information
Practice address
5585 GULL RD, SUITE 120, KALAMAZOO, MI 49048-6703
(269) 553-5000
(269) 553-0555
Mailing address
5585 GULL RD, SUITE 120, KALAMAZOO, MI 49048-6703
(269) 553-5000
(269) 553-0555
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301007505
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4369377
—
MI
Enumeration date
09/13/2006
Last updated
05/10/2017
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