| NPI | 1215136650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER THOMAS Member 248-855-5505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MI 5301008664) |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2019-11-25 |