| NPI | 1003924465 |
|---|---|
| Doing Business As | WEST GRANGE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | WILLIAM NEWMAN CEO 248-354-0282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301006407) |
| Enumeration Date | 2006-08-27 |
| Last Update Date | 2018-05-18 |