| NPI | 1639114333 |
|---|---|
| Doing Business As | NORTHEAST PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JOHN WILCZYNSKI Staff 586-263-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301006929) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2016-04-06 |