Organization
M K STORES INC
Active
Parent organization
MK STORES INC
Other names
Snyder RX Express
Organization subpart
Yes
Provider details
NPI number
Legal business name
MK STORES INC
Authorized official
MICHAEL C RUSSELL (HEAD OF PHARMACY)
(906) 485-5592
Entity
Organization
Contact information
Practice address
110 S MAIN ST, ISHPEMING, MI 49849-1820
(906) 486-4405
(906) 486-4406
Mailing address
110 S MAIN ST, ISHPEMING, MI 49849-1820
(906) 486-4405
(906) 486-4406
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
5301006524
MI
3336C0003X
Community/Retail Pharmacy
Primary
5301006524
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2356598
NABP NUMBER
MI
Enumeration date
08/01/2006
Last updated
04/10/2024
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