Organization
KAY PHARMACY INC.
Active
Other names
Kay Pharmacy Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL G. KOELZER R.PH. (PRESIDENT)
(616) 361-7319
Entity
Organization
Contact information
Practice address
2178 PLAINFIELD AVE NE, GRAND RAPIDS, MI 49505-4204
(616) 361-7319
(616) 361-0707
Mailing address
2178 PLAINFIELD AVE NE, GRAND RAPIDS, MI 49505-4204
(616) 361-7319
(616) 361-0707
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
5301001816
MI
3336C0003X
Community/Retail Pharmacy
Primary
5301001816
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2306389
NCPDP
MI
05
—
2958911
—
MI
Enumeration date
07/28/2005
Last updated
10/08/2018
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