| NPI | 1659700540 |
|---|---|
| Doing Business As | MI DOCTOR PHARMACY #21 |
| Entity Type | Organization |
| Authorized Contact | SUSAN ELAINE BARTLEMAY Manager, Pharmacy Operations 972-207-4922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy Clinic Pharmacy |
| Enumeration Date | 2013-11-01 |
| Last Update Date | 2013-11-01 |