| NPI | 1932140365 |
|---|---|
| Doing Business As | VANS PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JAMES BUSSIS President 269-983-4802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301009293) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2015-07-09 |