| NPI | 1689387821 |
|---|---|
| Other Name | LTBB CROOKED TREE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | FRANK ANIMIKWAM Medical Director 231-242-1700 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2023-01-03 |
| Last Update Date | 2024-05-23 |