| NPI | 1124168513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALEED M YAGHMOUR Pharmacist 313-923-0007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist Pharmacotherapy (Licence: MI 5301007993) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-08-22 |