| NPI | 1255801148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMED ARSIWALA CEO 734-338-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2018-12-04 |
| Last Update Date | 2018-12-04 |