| NPI | 1093123697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN BOZEVICH Pharmacy District Manager 248-399-4022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5302033297) |
| Enumeration Date | 2014-07-27 |
| Last Update Date | 2014-07-27 |