NPI | 1730291725 |
---|---|
Doing Business As | SIXTH STREET DRUG INC |
Entity Type | Organization |
Authorized Contact | KATHLEEN LARAIA VP, Ancillary Services 231-392-8410 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301001193) |
Additional Taxonomies | 333600000X Pharmacy |
3336C0004X Pharmacy, Compounding Pharmacy | |
Enumeration Date | 2006-08-31 |
Last Update Date | 2025-01-09 |