| NPI | 1225186471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH B BROOKE Pharmacy Manager 810-733-0741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301007744) |
| Enumeration Date | 2007-01-06 |
| Last Update Date | 2008-07-28 |