| NPI | 1255590766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH STARKEL Manager 248-680-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: MI BM6782646) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2023-11-29 |