| NPI | 1154713907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA RYCKMAN Staff Pharmacist 248-538-8373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5302024455) |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2015-03-02 |