| NPI | 1710092747 |
|---|---|
| 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 |