| NPI | 1154572162 |
|---|---|
| Doing Business As | PRESTIGE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | VIKAS SHARMA President 313-870-9207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301008826) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2009-11-11 |