| NPI | 1225927684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA STANDISH Outpatient Pharmacy Director 517-253-6313 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2025-07-01 |
| Last Update Date | 2025-07-01 |