| NPI | 1215396783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL HAIDAR Owner 734-421-1020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MI 5301010793) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2016-12-07 |