Organization
K & P OPTIMUM INC
Active
Other names
East Michigan Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KAUSHAL PATEL RPH (OWNER / PHARMACIST)
(810) 429-6834
Entity
Organization
Contact information
Practice address
4250 N SAGINAW ST, SUITE D, FLINT, MI 48505-5332
(810) 785-0363
(810) 785-0381
Mailing address
4250 N SAGINAW ST, SUITE D, FLINT, MI 48505-5332
(810) 785-0363
(810) 785-0381
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301009156
MI
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2373087
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/03/2009
Last updated
04/30/2010
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