| NPI | 1588229058 |
|---|---|
| Doing Business As | GRAND RAPIDS RX LLC |
| Entity Type | Organization |
| Authorized Contact | NILUPA RAHMAN Compliance Officer 313-353-9257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2019-05-09 |