<Unavail>
LBN: Kwonwoo Pharmacy Llc
<Unavail> is an health care organization with primary practice located at 700 Michigan Ave , Holland MI 49423-6944. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Kwonwoo Pharmacy Llc can be contacted via phone (616) 392-8507, or through Kwon-Woo, Inyol via phone (269) 364-7878.
Contact Information
Primary practice address
700 Michigan Ave
Holland MI 49423-6944
Phone: (616) 392-8507
Fax: (616) 392-8681
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 5301005911 | Michigan |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1104841808 |
|---|---|
| LBN Legal business name | Kwonwoo Pharmacy Llc |
| DBA Doing business as | <Unavail> |
| Authorized official | Kwon-Woo, Inyol |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 13th, 2006 |
| Last updated | Mar 17th, 2026 - about 7 months ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104841808 | NPPES |
| Other | 2351714 | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| MEDICAID | 2351714 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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