| NPI | 1164534236 |
|---|---|
| Doing Business As | VG'S PHARMACY #4 |
| Entity Type | Organization |
| Authorized Contact | BRYON C HIGGINS Pharmacy Product Director 810-629-1383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5301005242) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-11-19 |