NPI | 1447347745 |
---|---|
Doing Business As | CHERRY ST PHARMACY |
Entity Type | Organization |
Authorized Contact | RAYMOND DORHOUT President And Owner 810-659-5605 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 333600000X Pharmacy (Licence: MI 5301001966) |
3336L0003X Pharmacy, Long Term Care Pharmacy | |
Enumeration Date | 2006-10-06 |
Last Update Date | 2020-08-22 |