| NPI | 1255760740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER KAUFFMAN Supervisor 248-943-3515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5302041731) |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2013-11-05 |