| NPI | 1518185685 |
|---|---|
| Doing Business As | CLARKSTON PHARMACY LTC |
| Entity Type | Organization |
| Authorized Contact | ANDREW NELSON Member 248-625-9490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: MI 5301007964) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2019-04-15 |