| NPI | 1760638019 |
|---|---|
| Doing Business As | KENTWOOD PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MARK DOWNER Accounts Payable 616-827-9100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: MI 5901008943) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2010-07-09 |