| NPI | 1538337530 |
|---|---|
| Other Name | CRXSP |
| Entity Type | Organization |
| Authorized Contact | PHYLLIS KLONOWSKI Pharmacy Director 989-907-5602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2008-02-13 |