| NPI | 1144749425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FADI NASERDEAN President 313-680-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: MI PENDING) |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2020-06-24 |