Organization
COUNTRY MARKET PHARMACIES LLC
Active
Other names
Country Market Pharmacy 66
Organization subpart
No
Provider details
NPI number
Authorized official
GUY KENNEDY (MANAGING MEMBER)
(517) 787-6081
Entity
Organization
Contact information
Practice address
11301 BROOKLYN RD, BROOKLYN, MI 49230-8485
(517) 592-2475
(517) 592-2558
Mailing address
1821 SPRING ARBOR RD., JACKSON, MI 49203
(517) 787-6081
(517) 787-0160
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301007904
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346344306
—
MI
01
—
2046767
PK
—
Enumeration date
09/12/2006
Last updated
12/11/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
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