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
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us