Organization
KNIGHT DRUGS OWOSSO, 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
826 W KING ST, OWOSSO, MI 48867-2120
(989) 723-7386
(989) 723-7396
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
5301007542
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063405801
NPI
MI
01
—
2363771
NCPDP
MI
05
—
2363771
—
MI
Enumeration date
08/26/2005
Last updated
02/12/2009
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