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 |