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Contact Information

KRONNER PHARMACY INC
778 W HOUGHTON LAKE DR
PRUDENVILLE, MI48651
 Phone: 989-366-7611
 Fax: 989-366-1842
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for KRONNER PHARMACY INC

NPI # 1609976968
LBN Legal business name KRONNER PHARMACY INC
Authorized official LISA LUNDAHL - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/25/2006
Last updated 03/07/2023 - About 3 years ago
Identifiers
MI License # 5301007921
MI Medicaid 2510175
Other 2319514 NCPDP
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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