Organization
MEDICAL ARTS PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH R JOHNSON RPH (PIC)
(810) 344-6422
Entity
Organization
Contact information
Practice address
8483 HOLLY RD STE 202, GRAND BLANC, MI 48439-1840
(810) 344-6422
(810) 344-6421
Mailing address
8483 HOLLY RD STE 202, GRAND BLANC, MI 48439-1840
(810) 344-6422
(810) 344-6421
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FSRX7415513
FLEXSCRIPT
—
Enumeration date
01/10/2019
Last updated
09/20/2023
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