| NPI | 1083757140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAEL KHANAFER PIC 313-412-4622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301008341) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2008-01-17 |