| NPI | 1003301045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZIAD GHAMRAOUI Manager 734-677-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| 3336M0002X Pharmacy, Mail Order Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2018-11-01 |