| NPI | 1962417576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTI KAROLE NAGENGAST VP Of Finance 231-728-1950 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MI 5301008308) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2022-11-10 |