| NPI | 1174210520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRI LYNN PARSON Compliance Officer 734-470-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2023-04-18 |
| Last Update Date | 2023-04-18 |