NPI | 1841352937 |
---|---|
Entity Type | Organization |
Authorized Contact | ALAN C GUSTAVSON Director Of Pharmacy 269-492-2919 |
Organization Subpart ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302025698) |
Enumeration Date | 2006-12-14 |
Last Update Date | 2020-08-22 |