| NPI | 1033125679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD GHANNAM President 586-979-9020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301008172) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2020-08-22 |