| NPI | 1730327784 |
|---|---|
| Doing Business As | MATTAWAN VILLAGE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ANDREA FAVREAU Owner 269-998-8320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301009053) |
| Enumeration Date | 2009-01-29 |
| Last Update Date | 2009-06-19 |