NPI | 1346319290 |
---|---|
Doing Business As | MARTIN'S PHARMACY #24 |
Former Legal Business Name | MARTIN'S SUPER MARKET, INC. |
Doing Business As | MARTIN'S PHARMACY #2324 |
Entity Type | Organization |
Authorized Contact | AMY ELLIS Director Of Pharmacy 616-878-2848 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IN 60005914A) |
Enumeration Date | 2006-11-07 |
Last Update Date | 2023-12-07 |