| NPI | 1992067409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY ELLIS Director Of Pharmacy 616-878-2848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NE 2933) |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2023-12-07 |