Organization
BORMANS INC
Active
Other names
FARMER JACK PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN KIJOWSKI (PHARMACY SPECIALIST)
(201) 571-8326
Entity
Organization
Contact information
Practice address
161 S MILFORD RD, MILFORD, MI 48381-2758
(248) 684-5370
(248) 684-5374
Mailing address
161 S MILFORD RD, MILFORD, MI 48381-2758
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
5301007777
MI
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2365256
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
2365256
—
MI
Enumeration date
07/13/2006
Last updated
09/11/2025
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