Organization
KMART PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN SCHUCK (PHARMACY DISTRICT MANAGER)
(616) 361-3649
Entity
Organization
Contact information
Practice address
2110 S M 76, WEST BRANCH, MI 48661-8737
(989) 345-4884
(847) 396-2732
Mailing address
2110 S M 76, WEST BRANCH, MI 48661-8737
(989) 345-4884
(847) 396-2732
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
5301005457
MI
Other
Enumeration date
03/30/2016
Last updated
03/30/2016
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