| NPI | 1003273202 |
|---|---|
| Doing Business As | DIVINE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | REMY ONIMOE Owner 734-657-1727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MI 5301010794) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2016-01-20 |
| Last Update Date | 2018-12-07 |