| NPI | 1437435955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE KLIEMAN Manager Of Financial Services 810-385-8082 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2011-10-28 |
| Last Update Date | 2011-10-28 |