| NPI | 1164502803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA COUGHLIN President/CEO 989-755-3633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MI 5301007375) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2017-11-14 |