| NPI | 1770595670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON BETH FISHER Owner 616-392-4707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301002043) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2009-03-24 |