| NPI | 1861460131 |
|---|---|
| Doing Business As | MICHAELS PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL JOHNSON Pres PIC 276-676-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: VA 0201003687) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2012-01-17 |