| NPI | 1104214014 |
|---|---|
| Doing Business As | WEST MICHIGAN PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ASHLEY GOOTE Phcy Mgr,PIC,AO 231-305-4095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301010715) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2014-12-30 |
| Last Update Date | 2017-03-29 |