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Organization

KNIGHT DRUGS GRAND BLANC, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN DEJONGH (PRESIDENT OF OPERATIONS)
(248) 540-8066
Entity
Organization

Contact information

Practice address
8483 HOLLY RD, GRAND BLANC, MI 48439-1840
(810) 603-0918
(810) 606-8489
Mailing address
2520 INDUSTRIAL ROW DR, TROY, MI 48084-7035
(248) 540-8066
(248) 540-0112

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
5301007159
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1023001856
NPI
MI
01
2360977
NCPDP
MI
05
4180892
MI
Enumeration date
08/26/2005
Last updated
02/12/2009
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