| NPI | 1083291413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATASHA DUVALL Pharmacist In Charge 248-955-9855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2021-03-24 |
| Last Update Date | 2024-01-04 |