Organization
MK STORES INC
Active
Other names
The Corner Drugstore
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL C RUSSELL (HEAD OF PHARMACY)
(906) 485-5592
Entity
Organization
Contact information
Practice address
128 W GENESEE ST, IRON RIVER, MI 49935-1437
(906) 265-2312
(906) 265-5608
Mailing address
1330 US 41 W, ISHPEMING, MI 49849-3152
(906) 485-5592
(906) 485-4482
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301010216
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2142998
PK
—
Enumeration date
05/08/2006
Last updated
04/10/2024
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