| NPI | 1689897779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN LARAIA VP, Ancillary Services 231-392-8410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336I0012X Pharmacy Institutional Pharmacy (Licence: MI 5301000449) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MI 5301000449) |
| 3336H0001X Pharmacy Home Infusion Therapy Pharmacy (Licence: MI 5301000449) | |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2023-12-29 |