| NPI | 1225122724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE S STURGEON Pharmacy Manager 517-322-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: MI 5301003891) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-08-22 |