NPI | 1427879576 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREW STRAATSMA Business Office Manager 269-251-7579 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2024-10-22 |
Last Update Date | 2024-11-05 |