| NPI | 1376625160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT CONWAY President 810-736-6160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MI 5301002788) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2007-10-04 |