| NPI | 1073821385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINSDAY JOSEPH CFO 313-745-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MI 5301009484) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MI 5301009484) |
| Enumeration Date | 2010-09-21 |
| Last Update Date | 2022-03-22 |