Newberry Hometown Pharmacy

LBN: M.K. Stores, Inc
Newberry Hometown Pharmacy is an health care organization with primary practice located at 7344 State Hwy M-123 , Newberry MI 49868. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. M.K. Stores, Inc can be contacted via phone (906) 293-9900, or through Russell, Michael Charles via phone (906) 250-7034.

Contact Information

Primary practice address
7344 State Hwy M-123 Newberry MI 49868
Phone: (906) 293-9900
Fax: (906) 293-9909
Website:
Map and Directions
Authorized official contact:
Name: Russell, Michael Charles
Phone: (906) 250-7034

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 5301009845 Michigan
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1447514385
LBN Legal business name M.K. Stores, Inc
DBA Doing business as Newberry Hometown Pharmacy
Authorized official Russell, Michael Charles
Entity Organization
Organization subpart 1 No
Enumeration date Jun 26th, 2012
Last updated May 24th, 2024 - about 2 years 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1447514385 NPPES
Other 2135643 PK

Popular Providers