| NPI | 1033726807 |
|---|---|
| Doing Business As | PORTLAND PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MALIK SHAIBI Supervising Pharmacist 313-442-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2020-09-25 |
| Last Update Date | 2020-11-02 |