| NPI | 1033959820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUSSEIN DAOUD BAZZI Pharmacist In Charge 313-804-8445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2024-05-29 |
| Last Update Date | 2024-05-29 |