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NPI Code Detail

MEDICARE: KNIGHT PRESCRIPTIONS, LTD

MEDICARE: KNIGHT PRESCRIPTIONS, LTD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1333600000XPharmacy5301003465MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12328501OTHERMINCPDP
21730172529OTHERMINPI
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1730172529
Entity Type Code : Organization
Provider Name (Legal Business Name) : KNIGHT PRESCRIPTIONS, LTD
Provider Business Mailing Address
First Line : 2520 INDUSTRIAL ROW DR
Second Line :
City : TROY
State : MI
Zip : 48084-7035
Country : US
Telephone Number : 248-540-8066
Fax Number : 248-540-0112
Provider Business Practice Location Address
First Line : 4420 E DAVISON ST
Second Line :
City : DETROIT
State : MI
Zip : 48212-1744
Country : US
Telephone Number : 313-891-7500
Fax Number : 313-366-0485
Authorized Official
Title or Position : PRESIDENT OF OPERATIONS
Name : MR. JOHN DEJONGH
Credential :
Telephone Number : 248-540-8066
Provider Enumeration Date : 08/26/2005
Last Update Date : 02/12/2009

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Directions to “KNIGHT PRESCRIPTIONS, LTD ” Practice Location

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