| NPI | 1124143532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KASSI KRAFT Dme Manager, Pharmacy Technician 989-354-3189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: MI 5301008061) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2023-03-07 |