| NPI | 1144380387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT HARTWIG Director Pharmacy 269-217-9262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301008529) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2007-07-13 |