NPI | 1245942572 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID MILLER Owner 616-974-9792 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2022-12-19 |
Last Update Date | 2023-01-12 |