| NPI | 1821174020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY SUSICK Chief Operating Officer 947-522-3338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336I0012X Pharmacy, Institutional Pharmacy (Licence: MI 5301001594) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2023-01-31 |