| NPI | 1164871448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VASANT MENON Pharmacist 989-607-3379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301011076) |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2022-07-21 |