| NPI | 1447200159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM A. TOMASKI President/Pharmacist 989-732-4879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: MI 5301005584) |
| Additional Taxonomies | 251F00000X Home Infusion (Licence: MI 5301005584) |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MI 5301005584) | |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2017-05-03 |