| NPI | 1720272016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARCY TUSSING Dir Of Phrm 616-847-5230 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MI 5301008607) |
| Additional Taxonomies | 3336C0004X Pharmacy Compounding Pharmacy |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2008-07-08 |