IndividualActive
Keith Nowak, PHARM. D.
NPI 1003040635 · Pharmacist · East Jordan, MI
Provider details
- NPI number
- 1003040635
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARM. D.
- Sex
- Male
- Sole proprietor
- No
- License
- 5302035428 (MI)
Practice location
250 S Lake St
Suite a
East Jordan, MI 49727-9376
Phone: (231) 536-0901
Mailing address
250 S Lake St
East Jordan, MI 49727-9376
Registry dates
- Enumerated
- 2009-05-11
- Last updated
- 2009-05-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.