| NPI | 1932968740 |
|---|---|
| Doing Business As | FOWLERVILLE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | KRISHNA KANDAGATLA Owner 517-223-9832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2024-03-14 |
| Last Update Date | 2024-03-21 |