| NPI | 1447365473 |
|---|---|
| Doing Business As | MEDICAP PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DALE B MAUPIN Pharmacist/Owner 231-943-0085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: MI 5301007598) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2009-12-29 |