Organization
M K STORES INC
Active
Parent organization
MK STORES INC
Other names
SNYDER DRUG #207
Organization subpart
Yes
Provider details
NPI number
Legal business name
MK STORES INC
Authorized official
MR. MIKE PRUETT (SYSTEMS MANAGER)
(906) 361-0486
Entity
Organization
Contact information
Practice address
415 E M-28, MUNISING, MI 49862
(906) 387-4855
(906) 387-5736
Mailing address
415 E M-28, MUNISING, MI 49862
(906) 387-4855
(906) 387-5736
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
5301006949
MI
3336C0003X
Community/Retail Pharmacy
Primary
5301006949
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2359594
NABP NUMBER
MI
Enumeration date
08/01/2006
Last updated
03/07/2013
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