Bormans Inc
Organization Active NPI Community/Retail Pharmacy · Southgate, MI
NPI 1477578037 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1477578037
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- BORMANS INC
- Practice address
- 13777 Eureka Rd
Southgate, MI 48195-1352 - Phone
- (734) 246-7134
- Fax
- (734) 246-6088
- NPI assigned
- Jul 13, 2006
- Organization subpart
- No
Authorized official
- Name
- Susan Kijowski
- Title
- Pharmacy Specialist
- Phone
- (201) 571-8326
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Bormans Inc
Locations
13777 Eureka Rd
Southgate, MI 48195
Phone (734) 246-7134
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 5301005918 | MI | |
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
13777 Eureka Rd
Southgate, MI 48195-1352
Mailing address
13777 Eureka Rd
Southgate, MI 48195-1352
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2351839 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 2962647 | Medicaid | MI |
Other names
- FARMER JACK PHARMACY
Other providers in Southgate, MI
- Erica Bolt
- Ashley Bomar
- Emily Leona Bondar
- Raymond Bonds
- Jurin Boriboon
- Laura Ann Boros
- Laquitta Tyisha Bosley
- Jillian Bostain
- Charlie Bothuell
- Mia Boulay
All providers in Southgate, MI · Community/Retail Pharmacy in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.