| NPI | 1952322919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD INMAN VP Ops And Gen Counsel 616-874-4889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: MI 5301008353) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2020-08-22 |