NPI | 1124049176 |
---|---|
Doing Business As | WESTLAKE DRUG |
Entity Type | Organization |
Authorized Contact | DEREK QUINN Pharmacy Manager 269-327-3049 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301001583) |
Additional Taxonomies | 333600000X Pharmacy |
332B00000X Durable Medical Equipment & Medical Supplies | |
Enumeration Date | 2006-07-22 |
Last Update Date | 2012-05-08 |