| NPI | 1447567565 |
|---|---|
| Doing Business As | GRASS LAKE COMMUNITY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | TODD R. RAEHTZ Owner 866-964-2638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301009416) |
| Enumeration Date | 2010-09-10 |
| Last Update Date | 2024-02-10 |