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Contact Information

M K STORES INC
415 E M-28
MUNISING, MI49862
 Phone: 906-387-4855
 Fax: 906-387-5736
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for M K STORES INC

NPI Number 1386650182
LBN Legal business name M K STORES INC
Authorized official MIKE PRUETT - (SYSTEMS MANAGER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 08/01/2006
Last updated 03/07/2013 - About 13 years ago
Identifiers
MI License # 5301006949
MI Other 2359594 NABP NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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