Organization
BORMANS INC
Active
Organization
BORMANS INC
Active
Other names
FARMER JACK PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN KIJOWSKI (PHARMACY SPECIALIST)
(201) 571-8326
Entity
Organization
Contact information
Practice address
50 N GROESBECK HWY, MOUNT CLEMENS, MI 48043-5427
(586) 463-2180
(586) 463-4507
Mailing address
50 N GROESBECK HWY, MOUNT CLEMENS, MI 48043-5427
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
5301006739
MI
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2358011
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
3443943
—
MI
Enumeration date
07/13/2006
Last updated
09/11/2025
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