| NPI | 1114168176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAGDI ABDULLA Member Owner 586-757-9100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MI 5301009073) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2009-03-20 |
| Last Update Date | 2017-03-06 |