Organization
KWONWOO PHARMACY LLC
Active
Other names
SKIPS PHARMACY OF MICHIGAN
Organization subpart
No
Provider details
NPI number
Authorized official
INYOL KWON-WOO (PRESIDENT)
(269) 364-7878
Entity
Organization
Contact information
Practice address
700 MICHIGAN AVE, HOLLAND, MI 49423-6944
(616) 392-8507
(616) 392-8681
Mailing address
700 MICHIGAN AVE, HOLLAND, MI 49423-6944
(616) 392-8507
(616) 392-8681
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301005911
MI
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2351714
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
2351714
—
MI
Enumeration date
07/13/2006
Last updated
03/17/2026
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