| NPI | 1639243157 |
|---|---|
| Doing Business As | PENNOCK PHARMACY |
| Entity Type | Organization |
| Authorized Contact | AMANDA RISNER Certified Pharmacy Technician 269-945-1212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301004710) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2017-04-18 |