| NPI | 1245164953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BIMAL PATEL Pharmacist In Charge 810-228-4626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| Enumeration Date | 2026-06-09 |
| Last Update Date | 2026-06-09 |