| NPI | 1053355271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISMAIL JADALLAH Owner 313-341-2450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301008407) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2008-01-16 |