| NPI | 1154596682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW E COX Chief Financial Officer, Che 616-486-5246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0002X Pharmacy Mail Order Pharmacy (Licence: MI 5301001594) |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2025-06-12 |