NPI | 1487621892 |
---|---|
Doing Business As | CHERRY STREET PHARMACY |
Entity Type | Organization |
Authorized Contact | RAYMOND MILES DORHOUT Pharmacists 810-659-5608 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: MI C) |
Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: MI 23D1009655) |
Enumeration Date | 2006-03-03 |
Last Update Date | 2022-07-21 |