NPI | 1174616072 |
---|---|
Entity Type | Organization |
Authorized Contact | PHILIP GERARD THOM Director Of Operations 810-733-0280 |
Organization Subpart ? | No |
Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy |
Enumeration Date | 2006-10-02 |
Last Update Date | 2020-08-22 |