| NPI | 1588600498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN MURK Gen Mgr 269-637-1517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: MI 5301007506) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2020-08-22 |