| NPI | 1093726507 |
|---|---|
| Doing Business As | WATERFORD MEDICAL PHARMACY INC |
| Entity Type | Organization |
| Authorized Contact | HOWARD GARVIN President 248-674-4853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301003530) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2012-10-19 |