NPI 1194019182
M K Stores INC
Practice location
- Address
- 1015 N 3rd St, Marquette, MI 49855-3500
- Phone
- (906) 225-5911
- Fax
- (906) 225-5913
- Mailing address
- 1330 US 41 W, Ishpeming, MI 49849-3152
Authorised official
- Name
- Michael C Russell
- Title
- Head of Pharmacy
- Phone
- (906) 485-5592
Registered specialties (2)
Community/Retail Pharmacy
Primary
Durable Medical Equipment & Medical Supplies
Registry record
- NPI
- 1194019182
- Entity type
- Organization
- NPI issued
- 7 Jun 2011
- Record last updated
- 10 Apr 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.