| NPI | 1811081979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD B DILLMAN Owner 269-781-3411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301007785) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2011-07-18 |