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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
44777 MOUND RD, STERLING HEIGHTS, MI 48314-1325
(586) 726-5311
(586) 726-6629
Mailing address
44777 MOUND RD, STERLING HEIGHTS, MI 48314-1325

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
5301006971
MI
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2359710
OTHER ID NUMBER-COMMERCIAL NUMBER
05
4084359
MI
Enumeration date
07/13/2006
Last updated
09/11/2025
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