NPI | 1700968211 |
---|---|
Doing Business As | ALLEGIANCE HEALTH PHARMACY #7743 |
Entity Type | Organization |
Authorized Contact | JEANNE M. WICKENS Sr VP Finance/CFO 517-841-6979 |
Organization Subpart ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5301006737) |
Enumeration Date | 2006-10-20 |
Last Update Date | 2014-09-24 |