NPI 1003040635
Keith David Nowak, PHARMD
Practice location
- Address
- 250 S Lake St Suite a, East Jordan, MI 49727-9376
- Phone
- (231) 536-0901
Registered specialties
Pharmacist
Primary
Registry record
- NPI
- 1003040635
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 11 May 2009
- Record last updated
- 11 May 2009
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.