| NPI | 1154721520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IFEOMA ODOCHA PIC/Owner 248-252-3303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301010564) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 333600000X Pharmacy (Licence: MI 5301010564) | |
| Enumeration Date | 2014-09-03 |
| Last Update Date | 2019-08-07 |