| NPI | 1306952502 |
|---|---|
| Doing Business As | MORTONS PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DANIEL KELLER Owner 248-651-4044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301001437) |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2012-02-14 |