NPI | 1063031698 |
---|---|
Doing Business As | LTC WELCOME SOUTH |
Entity Type | Organization |
Authorized Contact | CHRISTOPHER M SCHOEN VP 616-214-8011 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
Enumeration Date | 2020-04-14 |
Last Update Date | 2020-04-14 |