NPI | 1114929874 |
---|---|
Doing Business As | GODDARD PHARMACY |
Entity Type | Organization |
Authorized Contact | CARL F DEMPICH President 313-291-1100 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301006897) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302023943) |
Enumeration Date | 2005-08-12 |
Last Update Date | 2020-08-22 |