| NPI | 1255679924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UZOMA NWACHUKWU Su PT. Pharmacist/Manager 313-995-2747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MI 5301010006) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2013-01-30 |
| Last Update Date | 2013-01-30 |