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 |