| NPI | 1114644341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUNIL PATEL Pharmacy Manger 269-278-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-10-27 |
| Last Update Date | 2022-10-27 |