| NPI | 1740222520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID GAMEZRNINA President/CEO 989-792-8751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: MI 5301007375) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2020-08-22 |