| NPI | 1174753289 |
|---|---|
| Doing Business As | GRAND RIVER PHARMACY |
| Entity Type | Organization |
| Authorized Contact | PAUL ROTARIUS President 313-533-0560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301009114) |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2009-12-02 |