| NPI | 1114556859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMEED NAHHAS Pharmacist In Charge 313-932-0198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2020-04-04 |
| Last Update Date | 2021-05-24 |