| NPI | 1831520006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER FLECK Sr Director Of Pharmacy 906-202-3131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: AZ Y005608) |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2026-02-13 |