| NPI | 1619375201 |
|---|---|
| Doing Business As | TEL-12 PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MONTY MICHAEL KAMPOSH Owner 248-304-7705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2014-12-12 |
| Last Update Date | 2022-07-07 |