| NPI | 1063920981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA NOUREDDINE President 248-957-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: MI 5301011356) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2018-01-12 |
| Last Update Date | 2021-05-17 |