NPI | 1972600807 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID VOICE Owner 231-947-6105 |
Organization Subpart ? | No |
Primary Taxonomy | 3336I0012X Pharmacy, Institutional Pharmacy |
Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: MI 5301008476) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2020-08-22 |