| NPI | 1407681695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM AQEL Pharmacist In Charge (PIC) 616-206-4316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2024-09-05 |
| Last Update Date | 2026-01-12 |