| NPI | 1548251739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES HERMAN HORTON Pharmacy Director/Authorized Agent 989-621-1534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| 183500000X Pharmacist (Licence: MI 5301005525) | |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2016-06-07 |