| NPI | 1154835270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX JOSEPH BOMMARITO Owner 586-746-7116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301011135) |
| Enumeration Date | 2017-11-28 |
| Last Update Date | 2017-11-28 |