| 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 |