| NPI | 1154957710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT PRESLEY Pharmacy Director 586-221-4460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336C0002X Pharmacy, Clinic Pharmacy | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2020-03-16 |
| Last Update Date | 2020-05-20 |