| NPI | 1326057308 |
|---|---|
| Doing Business As | FOWLERVILLE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | KRISHNA KANDAGATLA Member 517-316-6716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301004232) |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2023-11-14 |