| NPI | 1790811123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONJA MARTINEZ Chief Financial Officer 989-790-7790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: MI 5301001791) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2023-11-21 |