| NPI | 1326056391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES L BUSSIS President 616-396-5233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MI 5301000422) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MI 5301000422) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2008-12-08 |