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Organization

M K STORES INC

Active
Other names
Campus Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL C RUSSELL (HEAD OF PHARMACY)
(906) 485-5592
Entity
Organization

Contact information

Practice address
1015 N 3RD ST, MARQUETTE, MI 49855-3500
(906) 225-5911
(906) 225-5913
Mailing address
1330 US 41 W, ISHPEMING, MI 49849-3152

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
3336C0003X
Community/Retail Pharmacy
Primary

Other

Enumeration date
06/07/2011
Last updated
04/10/2024
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