| NPI | 1437336989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC M GRAHAM President 269-321-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: MI 5301008820) |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: MI 5301008820) |
| 3336C0004X Pharmacy, Compounding Pharmacy (Licence: MI 5301008820) | |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2008-03-18 |