| NPI | 1114354982 |
|---|---|
| Doing Business As | RADIENT PHARMACY LLC |
| Entity Type | Organization |
| Authorized Contact | INTSAR ALI President 313-828-1009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301010139) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2013-10-10 |
| Last Update Date | 2013-10-26 |