Organization
KNIGHT DRUGS WEST WARREN, INC.
Active
Other names
Knight Drugs McNichols
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN DEJONGH (PRESIDENT OF OPERATIONS)
(248) 540-8066
Entity
Organization
Contact information
Practice address
4321 E MCNICHOLS RD, DETROIT, MI 48212-1720
(313) 369-4399
(313) 606-8489
Mailing address
2520 INDUSTRIAL ROW DR, TROY, MI 48084-7035
(248) 540-8066
(248) 540-0112
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
5301006762
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1962495796
NPI
MI
01
—
2358100
NCPDP
MI
05
—
3454310
—
MI
Enumeration date
08/26/2005
Last updated
05/29/2009
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