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 |