| NPI | 1144406703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY J KIRK Owner 734-847-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: MI 5301008780) |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2008-01-14 |