| NPI | 1013260249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAEDA BAZZI President / Pharmacist In Charge 734-367-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MI 11111111) |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2012-10-25 |