| NPI | 1164093878 |
|---|---|
| Doing Business As | WEST GRANGE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | WILLIAM NEWMAN CEO 248-354-0282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2021-07-03 |
| Last Update Date | 2021-07-03 |