| NPI | 1780014837 |
|---|---|
| Doing Business As | GRAND RIVER PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RAFI RAHMAN Owner 313-247-2948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MI 5301010226) |
| Enumeration Date | 2013-11-26 |
| Last Update Date | 2013-11-26 |