Organization
M K STORES INC
Active
Parent organization
MK STORES INC
Other names
Snyder Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
MK STORES INC
Authorized official
MICHAEL C RUSSELL (HEAD OF PHARMACY)
(906) 485-5592
Entity
Organization
Contact information
Practice address
933 RIVERSIDE PLZ, IRON RIVER, MI 49935-1529
(906) 265-5149
(906) 265-4970
Mailing address
933 RIVERSIDE PLZ, IRON RIVER, MI 49935-1529
(906) 265-5149
(906) 265-4970
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
5301003442
MI
3336C0003X
Community/Retail Pharmacy
Primary
5301003442
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2328246
NABP NUMBER
MI
Enumeration date
07/31/2006
Last updated
04/10/2024
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