| NPI | 1972555233 |
|---|---|
| Doing Business As | THE PRESCRIPTION SHOP OF TRAVERSE CITY |
| Entity Type | Organization |
| Authorized Contact | JAMES W BOCK Owner President 231-943-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MI 5301005009) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2012-06-29 |