Organization Name: | M K STORES INC |
NPI Number: | 1053327858 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MIKE PRUETT (SYSTEMS MANAGER) |
Mailing Address: | 5091 Us 41 South Marquette |
State: | MI US |
Postal Code: | 49855 |
Phone Number: | 9062491441 |
Fax Number: | 9064854482 |
NPI Enumeration Date: | 08/01/2006 |
NPI Last Update Date: | 06/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 5301004963 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |