Organization
KNIGHT DRUGS-LANSING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DEJONGH (PRESIDENT OF OPERATIONS)
(248) 540-8066
Entity
Organization
Contact information
Practice address
1540 LAKE LANSING RD, LANSING, MI 48912-3707
(517) 485-9633
(517) 485-9634
Mailing address
2520 INDUSTRIAL ROW DR, TROY, MI 48084-7035
(248) 540-8066
(248) 540-0112
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1437100617
NPI
MI
01
—
2367933
NCPDP
MI
05
—
4863450
—
MI
Enumeration date
05/13/2006
Last updated
07/21/2022
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