NPI | 1578513479 |
---|---|
Doing Business As | SHORELINE PHARMACY |
Entity Type | Organization |
Authorized Contact | RANDALL SCOTT DAVIS Owner 269-637-9476 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5302025949) |
Enumeration Date | 2006-05-11 |
Last Update Date | 2017-02-28 |