| NPI | 1417055567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA LOUISE LUNDAHL Member 989-773-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301006573) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2023-03-07 |