NPI | 1730506510 |
---|---|
Doing Business As | WEST MICHIGAN CANCER CENTER RETAIL PHARMACY |
Entity Type | Organization |
Authorized Contact | JOSEPH MIRRO Cmo 269-382-2500 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MI 5301010374) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2014-03-18 |
Last Update Date | 2017-03-01 |