| NPI | 1538187448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY LIER CFO 810-679-2284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301008178) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2020-08-22 |