NPI | 1194715300 |
---|---|
Entity Type | Organization |
Authorized Contact | WARREN RAUSS PRATT President/Owner/Pharmacist 248-334-9582 |
Organization Subpart ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302022516) |
Enumeration Date | 2005-10-27 |
Last Update Date | 2008-02-23 |