Healthcare Provider Details

I. General information

NPI: 1659483642
Provider Name (Legal Business Name): KENT PHARMACIES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 07/25/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 S MICHIGAN AVE
SAGINAW MI
48602-2024
US

IV. Provider business mailing address

333 S MICHIGAN AVE
SAGINAW MI
48602-2024
US

V. Phone/Fax

Practice location:
  • Phone: 989-793-8640
  • Fax: 989-791-5021
Mailing address:
  • Phone: 989-793-8640
  • Fax: 989-791-5021

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number5301000743
License Number StateMI
# 4
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DENNIS PRINCING
Title or Position: PHARMACY OMNER
Credential: RPH
Phone: 989-793-8640