Organization
KRONNER PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA LOUISE LUNDAHL RPH (PRESIDENT)
(989) 366-7611
Entity
Organization
Contact information
Practice address
778 W HOUGHTON LAKE DR, PRUDENVILLE, MI 48651
(989) 366-7611
(989) 366-1842
Mailing address
778 W HOUGHTON LAKE DR, PRUDENVILLE, MI 48651
(989) 366-7611
(989) 366-1842
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301007921
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2319514
NCPDP
—
05
—
2510175
—
MI
Enumeration date
09/25/2006
Last updated
03/07/2023
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