| NPI | 1013205111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAISA HIDER Owner 313-561-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2012-06-12 |