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| Type | Company | [sources] | |||
|---|---|---|---|---|---|
| Name | MyKal Discount Pharmacy #2 | [sources] | |||
| Incorporation date | not available | [sources] | |||
| Jurisdiction | not available | [sources] | |||
| Country | United States | [sources] | |||
| Description | License number: 5301009423 | [sources] | |||
| NPI | 1780992750 | [sources] | |||
| Registration number | not available | [sources] | |||
| Sector | Pharmacy | [sources] | |||
| Address | Pontiac, MI | [sources] | |||
| Last change | Last processed | First seen | |||
Providers who have been terminated for cause from Michigan's Medicaid program.
United States · MDHHS
us-medmi-de2907558d0ee289a764f1d017bdbd0a0694f3a5 · us-npi-1780992750For experts: raw data explorer
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