| NPI | 1023179843 |
|---|---|
| Doing Business As | KINGSWAY MEDICAL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | HUSSIEN HACHOUCHE PIC 313-641-6483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301008548) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2017-02-20 |