| NPI | 1215053061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER JAMES MUNDEN Director Of Pharmacy Operations 517-937-4539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2008-09-29 |