Organization
M K STORES INC
Active
Organization
M K STORES INC
Active
Other names
Snyder Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL C RUSSELL (HEAD OF PHARMACY)
(906) 485-5592
Entity
Organization
Contact information
Practice address
1330 US HIGHWAY 41 W, ISHPEMING, MI 49849-3152
(906) 485-5592
(906) 485-4482
Mailing address
1330 US HIGHWAY 41 W, ISHPEMING, MI 49849-3152
(906) 485-5592
(906) 485-4482
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
5301003373
MI
3336C0003X
Community/Retail Pharmacy
Primary
5301003373
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2327434
NABP NUMBER
MI
Enumeration date
07/31/2006
Last updated
04/10/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up