| NPI | 1083019079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRETTAL AMADI Pharmacist 248-722-1476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301010595) |
| Enumeration Date | 2014-11-03 |
| Last Update Date | 2018-06-20 |