| NPI | 1598508509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN LARAIA VP, Ancillary Services 231-392-8410 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336I0012X Pharmacy, Institutional Pharmacy |
| Enumeration Date | 2024-06-17 |
| Last Update Date | 2024-06-17 |