Organization
KD PHARMACY, INC.
Active
Other names
Knight Drugs Gratiot
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN D'AGNILLO R.PH. (PHARMACIST)
(313) 571-4450
Entity
Organization
Contact information
Practice address
6455 GRATIOT AVE, DETROIT, MI 48207-1808
(313) 571-4450
(313) 571-4451
Mailing address
6455 GRATIOT AVE, DETROIT, MI 48207-1808
(313) 571-4450
(313) 571-4451
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
5301005179
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2345507
NCPDP
MI
05
—
2586600
—
MI
Enumeration date
08/26/2005
Last updated
08/22/2020
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