| NPI | 1588449201 |
|---|---|
| Other Name | SPECIALITY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ROBIN COLE Mso Director 810-275-9333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy |
| Enumeration Date | 2023-08-30 |
| Last Update Date | 2023-08-30 |