| NPI | 1922058908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS D KLAASEN Owner/President 616-392-8130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MI 5301001241) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2020-08-22 |