| NPI | 1962664060 |
|---|---|
| Doing Business As | BC OF MICHIGAN PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RYAN GUNABALAN Owner 248-792-1746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301008844) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2015-04-24 |