NPI | 1639851116 |
---|---|
Doing Business As | AURORA LONG TERM CARE - TRAVERSE CITY |
Entity Type | Organization |
Authorized Contact | JEFFREY ROBERT STULL Owner 269-657-6073 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Enumeration Date | 2023-08-03 |
Last Update Date | 2023-08-03 |