| NPI | 1659626646 |
|---|---|
| Doing Business As | GRAND BLANC COMMUNITY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | AHMED ZAKI CEO 810-720-2990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301010002) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2013-04-30 |