| NPI | 1174874994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN T. ADAMS Owner 313-864-7821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MI 5301009892) |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2012-09-20 |