Organization
M K STORES INC
Active
Parent organization
MK STORES INC
Other names
Snyder Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
MK STORES INC
Authorized official
MICHAEL C RUSSELL (VP OF PHARMACY)
(906) 485-5592
Entity
Organization
Contact information
Practice address
5091 US 41 SOUTH, MARQUETTE, MI 49855
(906) 249-1441
(906) 249-9850
Mailing address
5091 US 41 SOUTH, MARQUETTE, MI 49855
(906) 249-1441
(906) 485-4482
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
5301004963
MI
3336C0003X
Community/Retail Pharmacy
Primary
5301004963
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2344149
NABP NUMBER
MI
Enumeration date
08/01/2006
Last updated
04/05/2024
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