| NPI | 1346629615 |
|---|---|
| Doing Business As | JOHN S LTC PHARMACY |
| Entity Type | Organization |
| Authorized Contact | GIOVANNI CIRAULO Pharmacist/Owner 586-201-7801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: MI 5301010782) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2020-10-20 |