| NPI | 1235478934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOOMEN MIRHOM Owner 248-948-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2013-01-31 |
| Last Update Date | 2016-04-25 |