| NPI | 1255434528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYON C HIGGINS Pharmacy Product Director 810-629-1383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5301004772) |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2007-11-19 |