Organization
KAY PHARMACY INC.
Active
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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