| NPI | 1255445243 |
|---|---|
| Doing Business As | HERITAGE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | NAIBON D. MOORE Managing Officer 313-819-7339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 23998) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2019-04-24 |