| NPI | 1700980760 |
|---|---|
| Doing Business As | COUNTRY MARKET PHARMACY #11 |
| Entity Type | Organization |
| Authorized Contact | GRANT BROWN Dir Of Pharmacy Operations 517-789-8980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301007786) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2018-07-19 |