| NPI | 1720745003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA LYNN STILES Office Manager 810-982-5200 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2021-11-22 |
| Last Update Date | 2021-11-22 |