| NPI | 1104919729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIDEOFOR N DALLAH President 248-233-6511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: MI 5301008495) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2008-03-27 |