Provider Type: Suppliers
Provider Classification: Pharmacy
Provider Specialization: Community/Retail Pharmacy
Definition of Specialization:
Address: 2377 E M 113
Kingsley, MI 49649-9370
Phone: (231) 263-5671
Fax: (231) 263-3810
Authorized Official: Ascione, Michael
Authorized Official Position: Ops Mgr
Authorized Official Phone: (231) 263-5671

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