| NPI | 1164924585 |
|---|---|
| Doing Business As | PANACEA RX PHARMACY |
| Entity Type | Organization |
| Authorized Contact | FARAH HAMAM Owner 313-522-9994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301011331) |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2018-03-01 |