| NPI | 1154681054 |
|---|---|
| Doing Business As | GOG PHARMACY |
| Entity Type | Organization |
| Authorized Contact | FAUSTINA IROHA Owner, PIC 248-943-1123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301009829) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2016-03-29 |