NPI | 1740618891 |
---|---|
Doing Business As | MI DOCTOR PHARMACY #17 |
Entity Type | Organization |
Authorized Contact | SUSAN ELAINE BARTLEMAY Manager, Pharmacy Operations 972-207-4922 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy |
Enumeration Date | 2013-10-29 |
Last Update Date | 2013-10-29 |