| NPI | 1124428412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHMOUD RIFAI Owner/PIC 937-389-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MI 5301010529) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2014-08-25 |
| Last Update Date | 2017-02-20 |