Country Market Pharmacy #11

LBN: Kenco Inc
Country Market Pharmacy #11 is an health care organization with primary practice located at 1535 W Maumee St , Adrian MI 49221-1805. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Kenco Inc can be contacted via phone (517) 265-9162, or through Brown, Grant via phone (517) 789-8980.

Contact Information

Primary practice address
1535 W Maumee St Adrian MI 49221-1805
Phone: (517) 265-9162
Fax: (517) 266-1455
Website:
Map and Directions
Authorized official contact:
Name: Brown, Grant PHARM.D.
Phone: (517) 789-8980

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 5301007786 Michigan

Profile Details

NPI number 1700980760
LBN Legal business name Kenco Inc
DBA Doing business as Country Market Pharmacy #11
Authorized official Brown, Grant PHARM.D.
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2006
Last updated Jul 19th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700980760 NPPES
Other 2044382 PK
MEDICAID 2359506 PK

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