NPI | 1003905589 |
---|---|
Doing Business As | MEDICINE SHOPPE |
Entity Type | Organization |
Authorized Contact | MARTHA L TJOLSEN Owner/Pharmacist 734-429-0509 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MI 5301007376) |
Enumeration Date | 2006-10-12 |
Last Update Date | 2023-03-07 |