| NPI | 1831104447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYSON B BULMAHN Managing Member 716-471-8067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301007439) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2023-03-07 |