NPI | 1154957710 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT PRESLEY Pharmacy Director 586-221-4460 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
333600000X Pharmacy | |
3336C0002X Pharmacy, Clinic Pharmacy | |
3336C0004X Pharmacy, Compounding Pharmacy | |
Enumeration Date | 2020-03-16 |
Last Update Date | 2020-05-20 |