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NPI Code Detail

MEDICARE: KNIGHT DRUGS EAST SEVEN MILE, INC.

MEDICARE: KNIGHT DRUGS EAST SEVEN MILE, 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
1333600000XPharmacy53011007206MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12361486OTHERMINCPDP
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285627026
Entity Type Code : Organization
Provider Name (Legal Business Name) : KNIGHT DRUGS EAST SEVEN MILE, INC.
Provider Business Mailing Address
First Line : 7900 KERCHEVAL ST
Second Line : #131
City : DETROIT
State : MI
Zip : 48214-2439
Country : US
Telephone Number : 313-921-0154
Fax Number : 313-921-0185
Provider Business Practice Location Address
First Line : 7900 KERCHEVAL ST
Second Line : #131
City : DETROIT
State : MI
Zip : 48214-2439
Country : US
Telephone Number : 313-921-0154
Fax Number : 313-921-0185
Authorized Official
Title or Position : PHARMACIST
Name : MR. RICK VESTICH
Credential : R.PH.
Telephone Number : 313-921-0154
Provider Enumeration Date : 08/26/2005
Last Update Date : 08/22/2020

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Directions to “KNIGHT DRUGS EAST SEVEN MILE, INC. ” Practice Location

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