| NPI | 1093819229 |
|---|---|
| Doing Business As | GRAND RAPIDS HOME FOR VETERANS |
| Entity Type | Organization |
| Authorized Contact | JOHN WILLIAM CARLSON Director Of Pharmacy 616-364-5355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: MI 5301000666) |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2016-10-19 |