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KNIGHT DRUGS WEST WARREN INC. NPI 1962495796


NPI Information

NPI: 1962495796
Provider Name: KNIGHT DRUGS WEST WARREN, INC.

Doing Business As: KNIGHT DRUGS MCNICHOLS

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
4321 E MCNICHOLS RD
DETROIT, MI
ZIP 48212
Phone: (313) 369-4399
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KNIGHT DRUGS WEST WARREN, 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. KNIGHT DRUGS WEST WARREN, INC. NPI is 1962495796. The provider is registered as an organization entity type.
The provider Is Doing Business As Knight Drugs Mcnichols.

The provider's business location address is:

4321 E MCNICHOLS RD
DETROIT, MI
ZIP 48212-720
Phone: (313) 369-4399
Fax: (313) 606-8489

The provider's authorized official is John Dejongh .
The authorized official title is President Of Operations and has the following contact phone number (248) 540-8066.

The enumeration date for this NPI number is 8/26/2005 and was last updated on 5/29/2009.


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
1333600000XPharmacy5301006762MICHIGANYes

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
14246040001MEDICARE NSCMICHIGAN
21962495796OTHERMICHIGANNPI
32358100OTHERMICHIGANNCPDP
43454310MEDICAIDMICHIGAN
54148812MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN

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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