| NPI | 1437693108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA STANDISH Outpatient Pharmacy Director 517-253-6313 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MI 5301011075) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| Enumeration Date | 2016-12-14 |
| Last Update Date | 2025-07-01 |