| NPI | 1114224870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HITESH UPADHYAY President 586-817-0497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MI 5301009515) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2011-02-16 |
| Last Update Date | 2017-03-20 |