| NPI | 1255706149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HIMANSHU H SHUKLA Registered Pharmacist 734-233-0823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302034906) |
| Enumeration Date | 2015-12-03 |
| Last Update Date | 2015-12-03 |