| NPI | 1225050131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW E COX Chief Financial Officer 616-486-5246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MI 5301003707) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2025-06-12 |