Organization
K & D PHARMACY
Active
Parent organization
K & D PHARMACY
Other names
Clarkston Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
K & D PHARMACY
Authorized official
KATHLEEN M HANNAH RPH (PRESIDENT)
(248) 625-8030
Entity
Organization
Contact information
Practice address
5838 S MAIN ST, CLARKSTON, MI 48346-2963
(248) 625-8030
(248) 625-9207
Mailing address
5838 S MAIN ST, CLARKSTON, MI 48346-2963
(248) 625-8030
(248) 625-9207
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2327496
—
MI
01
—
ON54000
MEDICARE PART B
—
Enumeration date
09/30/2005
Last updated
10/15/2007
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