NPI | 1710092747 |
---|---|
Doing Business As | OPTIMED PHARMACY |
Entity Type | Organization |
Authorized Contact | ANDREW REEVES CEO 269-250-8018 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: MI 5301006116) |
Additional Taxonomies | 333600000X Pharmacy |
3336C0003X Pharmacy, Community/Retail Pharmacy | |
3336C0004X Pharmacy, Compounding Pharmacy | |
3336L0003X Pharmacy, Long Term Care Pharmacy | |
3336M0003X Pharmacy, Managed Care Organization Pharmacy | |
3336S0011X Pharmacy, Specialty Pharmacy | |
Enumeration Date | 2006-08-20 |
Last Update Date | 2021-02-11 |