| NPI | 1053491951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET ROSE ALLEN Director Of Operations 989-837-3636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301007134) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2010-01-21 |