| NPI | 1104059526 |
|---|---|
| Doing Business As | PRESTIGE DRUGS PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DEREK PENCAK President 248-548-9935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301009146) |
| Enumeration Date | 2009-09-02 |
| Last Update Date | 2011-08-29 |