| NPI | 1063812964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH THOMAS Managing Member 313-395-3957 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MI 5301011087) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2017-04-04 |