| NPI | 1124071519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD HARVEY Pharmacist 616-754-7852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: MI 5301003552) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2020-08-22 |