| NPI | 1588048672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT ERSBERGER District Manager 269-271-7365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MI 5302042983) |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2015-07-17 |