| NPI | 1093804783 |
|---|---|
| Other Name | PROMEDICA SPECIALTY PHARMACY #2 |
| Entity Type | Organization |
| Authorized Contact | BRYAN COEHRS Director Of Pharmacy 567-585-3041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: OH RTP.020811250-03) |
| Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: MI 5301011062) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2024-04-26 |