| NPI | 1164681672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW J MAC Vice President Pharmacy Operation 734-377-3154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MI 5301008492) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MI 5301008492) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2023-03-07 |