NPI | 1275575847 |
---|---|
Doing Business As | CLIO ROAD PHARMACY |
Entity Type | Organization |
Authorized Contact | SELMA DZELIL VP Rdo 815-715-8502 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301007593) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2006-06-11 |
Last Update Date | 2023-09-29 |