| NPI | 1245733609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALAM BASSAM Owner 313-686-8666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MI 5301011341) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2018-07-19 |