MEDICARE: BORMANS INC

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
1	333600000X	Pharmacy	5301007324	MI
2	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2362298	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043237662
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BORMANS INC

Provider Business Mailing Address
First Line	:	15100 SILVER PKWY
Second Line	:
City	:	FENTON
State	:	MI
Zip	:	48430-3449
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	15100 SILVER PKWY
Second Line	:
City	:	FENTON
State	:	MI
Zip	:	48430-3449
Country	:	US
Telephone Number	:	810-714-5140
Fax Number	:	810-714-5129

Authorized Official
Title or Position	:	PHARMACY SPECIALIST
Name	:	SUSAN KIJOWSKI
Credential	:
Telephone Number	:	201-571-8326

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	09/11/2025

Similar Medicare Providers

1326917394 — KROGER CO OF MICHIGAN
Practice Location Address:

15100 SILVER PKWY
FENTON, MI
48430-3449

Practice Phone: 810-208-2210
Practice Fax: 810-208-2205

1114876687 — LUTHER SAVAGE LLPC
Practice Location Address:

127 N RIVER ST
FENTON, MI
48430-3800

Practice Phone: 810-309-9355
Practice Fax: 810-750-1152

1396694691 — ASHLEY TIBBS
Practice Location Address:

202 W SHIAWASSEE AVE STE 114
FENTON, MI
48430-2093

Practice Phone: 248-780-9030
Practice Fax:

1750231981 — OVERSTRIDE LLC
Practice Location Address:

13131 FOLEY RD
FENTON, MI
48430-8408

Practice Phone: 810-499-9336
Practice Fax:

1831928548 — CHRISTY MARIE DAENZER LLMSW
Practice Location Address:

15173 NORTH RD STE 100
FENTON, MI
48430-1381

Practice Phone: 810-771-4074
Practice Fax:

1306795232 — RADICALLY GENUINE THERAPY SERVICES L.L.C.
Practice Location Address:

13132 NORTH RD
FENTON, MI
48430-1085

Practice Phone: 810-666-0492
Practice Fax:

Directions to “BORMANS INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.