Organization
KNIGHT DRUGS CHESANING LLC
Active
Other names
Family Rexall Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN DEJONGH (PRESIDENT OF OPERATION)
(248) 540-8066
Entity
Organization
Contact information
Practice address
129-133 W BROAD ST, CHESANING, MI 48616-1202
(989) 845-2050
(989) 845-4320
Mailing address
2520 INDUSTRIAL ROW DR, TROY, MI 48084-7035
(248) 540-8066
(248) 540-0112
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
5301007401
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1699768358
NPI
MI
01
—
2362743
NCPDP
MI
05
—
2362743
—
MI
Enumeration date
08/29/2005
Last updated
02/12/2009
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