| NPI | 1194725705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA BERISHAJ Vice President 248-280-2270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MI 5301006411) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336M0002X Pharmacy Mail Order Pharmacy | |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2017-10-10 |