| NPI | 1477891893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON BEAUCH Vice President, Pharmacy 616-791-3346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 031853) |
| Enumeration Date | 2013-01-18 |
| Last Update Date | 2020-09-24 |