| NPI | 1285833806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYON C HIGGINS Pharmacy Product Director 810-629-1383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MI 5301008666) |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2007-11-19 |