| NPI | 1093986671 |
|---|---|
| Doing Business As | GRAND RIVER PHARMACY |
| Entity Type | Organization |
| Authorized Contact | LOKESH TAYAL President 313-412-9220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301008825) |
| Enumeration Date | 2008-03-21 |
| Last Update Date | 2008-03-21 |