| NPI | 1093827099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FADI NASERDEAN President 313-624-3016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: MI 5301007103) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2010-02-19 |