| NPI | 1336937721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSTAL SHEERER Director Of Payer Relations 616-791-3485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2025-04-28 |
| Last Update Date | 2025-04-28 |