| NPI | 1316049745 |
|---|---|
| Doing Business As | KEYSTONE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DAVID MILLER Owner 616-974-9792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy Compounding Pharmacy (Licence: MI 5301007431) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0003X Pharmacy Community/Retail Pharmacy | |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2017-03-17 |