| NPI | 1508974973 |
|---|---|
| Doing Business As | PINE KNOB SAV MOR PHARMACY #6 |
| Entity Type | Organization |
| Authorized Contact | ANTHONY JAY PLAS Vice President 248-253-0521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301008116) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MI 5407550001) |
| Enumeration Date | 2006-08-27 |
| Last Update Date | 2021-04-14 |