| NPI | 1457387185 |
|---|---|
| Doing Business As | GPS OF MICHIGAN INSTITUTIONAL |
| Entity Type | Organization |
| Authorized Contact | FRED GHANNAM CEO Owner 517-882-5515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: MI 5301007720) |
| Additional Taxonomies | 3336I0012X Pharmacy, Institutional Pharmacy |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2009-09-01 |