NPI | 1497757355 |
---|---|
Doing Business As | WILTSE'S COMMUNITY PHARMACY |
Entity Type | Organization |
Authorized Contact | D D KNAB President 734-453-4848 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301000965) |
Enumeration Date | 2005-08-11 |
Last Update Date | 2015-12-21 |