| NPI | 1245506476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BALIGH MOHAMMED ALI AL KAINAEAI Pharmacist 734-307-7018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: MI 5301009769) |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2012-08-31 |