| NPI | 1629520150 |
|---|---|
| Doing Business As | CFCC SPECIALTY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | PAUL KOCIEMBA Pharmacy Manager 231-935-5682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: MI 5301011031) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2016-11-23 |