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KD PHARMACY INC. NPI 1255324059


NPI Information

NPI: 1255324059
Provider Name: KD PHARMACY, INC.

Doing Business As: KNIGHT DRUGS GRATIOT

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
6455 GRATIOT AVE
DETROIT, MI
ZIP 48207
Phone: (313) 571-4450
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KD PHARMACY, INC. is a pharmacy in Detroit, MI. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. KD PHARMACY, INC. NPI is 1255324059. The provider is registered as an organization entity type.
The provider Is Doing Business As Knight Drugs Gratiot.

The provider's business location address is:

6455 GRATIOT AVE
DETROIT, MI
ZIP 48207-808
Phone: (313) 571-4450
Fax: (313) 571-4451

The provider's authorized official is John D'agnillo .
The authorized official title is Pharmacist and has the following contact phone number (313) 571-4450.

The enumeration date for this NPI number is 8/26/2005 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacy5301005179MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12345507OTHERMICHIGANNCPDP
22586600MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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