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NPI Code Detail

MEDICARE: MAY S KASGORGIS

MEDICARE: MAY S KASGORGIS
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
1183500000XPharmacist5302027502MI

General Provider Information

NPI Number : 1689205429
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAY S KASGORGIS
Provider Business Mailing Address
First Line : 6785 QUEEN ANNE DR
Second Line :
City : WEST BLOOMFIELD
State : MI
Zip : 48322-2782
Country : US
Telephone Number : 248-770-9761
Fax Number :
Provider Business Practice Location Address
First Line : 100 W WEST MAPLE RD
Second Line :
City : WALLED LAKE
State : MI
Zip : 48390-3402
Country : US
Telephone Number : 248-624-4555
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2020
Last Update Date : 01/30/2020

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Directions to “ MAY S KASGORGIS ” Practice Location

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